A 13-year-old previously healthy immunized boy presents to the pediatric emergency department (ED) with fever, hives, and red-colored urine. He had no history of anaphylaxis, but earlier that morning he had an episode of angioedema, hives, and difficulty breathing. His mother treated him with 25 mg of oral diphenhydramine and 0.3 mg of intramuscular epinephrine obtained from a sibling with a history of anaphylaxis. All of his symptoms improved by the time emergency medical services arrived so he was not transported to a hospital. A couple of hours later he presented to his pediatrician due to recurrence of hives. He was prescribed hydroxyzine and a prednisolone course for presumptive allergic reaction symptoms. That night (12 hours after intramuscular epinephrine administration), his hives were still visible but much improved according to his mother. However, he became febrile to 101.9°F (38.8°C) and also noticed red-colored urine, so he presented to the ED....
Skip Nav Destination
Article navigation
January 2022
Index of Suspicion|
January 01 2022
Hives and Fever in a 13-year-old Boy
Thang V. Truong, MD;
Thang V. Truong, MD
*The Children’s Hospital at OU Medical Center, Oklahoma City, OK
†University of Iowa Hospitals and Clinics, Iowa City, IA
Search for other works by this author on:
Blake Gruenberg, MD;
Blake Gruenberg, MD
‡Vanderbilt University Medical Center, Nashville, TN
Search for other works by this author on:
Daisy A. Ciener, MD, MS;
Daisy A. Ciener, MD, MS
‡Vanderbilt University Medical Center, Nashville, TN
Search for other works by this author on:
Ryan Butchee, MD
Ryan Butchee, MD
*The Children’s Hospital at OU Medical Center, Oklahoma City, OK
Search for other works by this author on:
AUTHOR DISCLOSURE
Drs Truong, Gruenberg, Ciener, and Butchee have disclosed no financial relationships relevant to this article. This commentary does not contain a discussion of an unapproved/investigative use of a commercial product/device.
Pediatr Rev (2022) 43 (1): 49–53.
Citation
Thang V. Truong, Blake Gruenberg, Daisy A. Ciener, Ryan Butchee; Hives and Fever in a 13-year-old Boy. Pediatr Rev January 2022; 43 (1): 49–53. https://doi.org/10.1542/pir.2020-003848
Download citation file:
0 Comments
Comments Icon
Comments (0)
Sign in
Don't already have an account? Register
Pay-Per-View Access
$25.00
1,153
Views
0
Citations