Case 25 - 18-month-old F with fever

Question 1

Diagnostic work-up

Answer 1

CBC with differential
UA, urine culture
Blood culture
LP - CSF analysis
Respiratory viral panel

Question 2

Differential diagnosis

Answer 2

Acute otitis media
Meningococcal meningitis
Scarlet fever

Question 3

Differential diagnosis

Answer 3

Acute otitis media
Meningococcal meningitis (maculopapular facial rash that spread to chest, back and abdomen, fever, difficulty sleeping, vomiting)
Scarlet fever (maculopapular facial rash that spread to chest, back and abdomen, fever, difficulty swallowing)

Question 4

Diagnostic work-up

Answer 4

Pneumatic otoscopy
CBC with differential
UA, urine culture
Blood culture
Throat culture
LP - CSF analysis
Platelets, PT/PTT, d-dimer, fibrin split products, fibrinogen