To the Editor.—

I read the article on "Fever and Petechiae in Children" by Baker et al1 with great interest. The results of Baker et al support the teaching I have received and my clinical impression that children having fever and petechiae most often do not have meningococcemia. Further, it appears that consideration of initial clinical features, peripheral white cell count, and examination of cerebrospinal fluid should allow a definitive assessment of whether invasive bacterial disease is present.

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