A Toddler With Prolonged Fever and Intermittent Cough

A Toddler With Prolonged Fever and Intermittent Cough

Fever of unknown origin is an important diagnostic challenge in pediatrics that requires a thoughtful approach. The differential diagnosis is broad and includes infectious, autoimmune, oncologic, neurologic, genetic, and iatrogenic causes. Infection remains the most common etiology, and uncommon pre...

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Main Authors: Carson Gill MD, MSc, Ori Scott MD, Carolyn E. Beck MD, MSc, FRCPC
Format: Article
Language:English
Published: SAGE Publishing 2019-01-01
Series:Global Pediatric Health
Online Access:https://doi.org/10.1177/2333794X18822999
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spelling doaj-b70e26d2321841d086b3ffd1b51651db2020-11-25T03:15:27ZengSAGE PublishingGlobal Pediatric Health2333-794X2019-01-01610.1177/2333794X18822999A Toddler With Prolonged Fever and Intermittent CoughCarson Gill MD, MSc0Ori Scott MD1Carolyn E. Beck MD, MSc, FRCPC2Department of Pediatrics, BC Children’s Hospital, Vancouver, British Columbia, CanadaDepartment of Pediatrics, The Hospital for Sick Children, Toronto, Ontario, CanadaUniveristy of Toronto, Toronto, Ontario, CanadaFever of unknown origin is an important diagnostic challenge in pediatrics that requires a thoughtful approach. The differential diagnosis is broad and includes infectious, autoimmune, oncologic, neurologic, genetic, and iatrogenic causes. Infection remains the most common etiology, and uncommon presentations of infections are still more likely than classic presentations of rare conditions. We report a case of a retropharyngeal abscess in a toddler whose presentation is marked by a prolonged fever (>3 weeks). This case highlights the importance of close follow-up with serially repeated history and physical examinations to guide the evaluation of a patient with fever of unknown origin.https://doi.org/10.1177/2333794X18822999
collection DOAJ
language English
format Article
sources DOAJ
author Carson Gill MD, MSc
Ori Scott MD
Carolyn E. Beck MD, MSc, FRCPC
spellingShingle Carson Gill MD, MSc
Ori Scott MD
Carolyn E. Beck MD, MSc, FRCPC
A Toddler With Prolonged Fever and Intermittent Cough
Global Pediatric Health
author_facet Carson Gill MD, MSc
Ori Scott MD
Carolyn E. Beck MD, MSc, FRCPC
author_sort Carson Gill MD, MSc
title A Toddler With Prolonged Fever and Intermittent Cough
title_short A Toddler With Prolonged Fever and Intermittent Cough
title_full A Toddler With Prolonged Fever and Intermittent Cough
title_fullStr A Toddler With Prolonged Fever and Intermittent Cough
title_full_unstemmed A Toddler With Prolonged Fever and Intermittent Cough
title_sort toddler with prolonged fever and intermittent cough
publisher SAGE Publishing
series Global Pediatric Health
issn 2333-794X
publishDate 2019-01-01
description Fever of unknown origin is an important diagnostic challenge in pediatrics that requires a thoughtful approach. The differential diagnosis is broad and includes infectious, autoimmune, oncologic, neurologic, genetic, and iatrogenic causes. Infection remains the most common etiology, and uncommon presentations of infections are still more likely than classic presentations of rare conditions. We report a case of a retropharyngeal abscess in a toddler whose presentation is marked by a prolonged fever (>3 weeks). This case highlights the importance of close follow-up with serially repeated history and physical examinations to guide the evaluation of a patient with fever of unknown origin.
url https://doi.org/10.1177/2333794X18822999
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