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Radiological Case of the Month
Geoffrey A. Jackman, MD
From Emory University School of Medicine, Egleston Children's Hospital, Atlanta, Ga.
Arch Pediatr Adolesc Med. 1999;153:887-888.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 9-MONTH-OLD previously healthy infant presented with a history of a fever (temperature to 39.5°C) daily for 32 days. At the onset of the fever, she had several small bumps around her mouth and cold symptoms consisting of a nonproductive cough and rhinorrhea. Her primary care physician diagnosed a viral illness. The physician reevaluated her persistent fever 2 weeks later, diagnosed otitis media, and started treatment with an antibiotic. After completion of the antibiotic course, she was still febrile and was given a second antibiotic with no improvement of her condition. The parents reported she was weaker and her activity level had decreased. She no longer pulled herself to a standing position. She had no noticeable decrease in appetite or weight and no change in behavior.
The infant had achieved developmental milestones appropriately and had been immunized. Her medical and family history were unremarkable. There was . . . [Full Text of this Article]
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