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62: Fever in Infants Younger Than 60 Days
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Published:May 2023
Eric Biondi, MD, Rachel Cane, MD, PhD, "Fever in Infants Younger Than 60 Days", Caring for the Hospitalized Child: A Handbook of Inpatient Pediatrics, American Academy of Pediatrics Section on Hospital Medicine, Jeffrey C. Gershel, MD, FAAP, Daniel A. Rauch, MD, FAAP, SFHM
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Fever in an infant younger than 60 days is defined as a rectal temperature 38 °C (100.4 °F) or higher without evidence of a localized infection such as pneumonia, bronchiolitis, cellulitis, or abscess. In this age group, fever may be the only presenting sign of urinary tract infection (UTI), bacteremia, or bacterial meningitis, with UTI being the most prevalent of these (> 10% of cases). Bacteremia (< 2% of cases) and bacterial meningitis (< 0.5% of cases) are rare and now categorized as invasive bacterial infections (IBIs), with infants 21 days and younger at highest risk.
The most likely organisms...
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