RT Journal
A1 Jackman GA
T1 RAdiological case of the month
JF Archives of Pediatrics & Adolescent Medicine
JO Archives of Pediatrics & Adolescent Medicine
YR 1999
FD August 1
VO 153
IS 8
SP 887
OP 888
DO 10.1001/archpedi.153.8.887
UL http://dx.doi.org/10.1001/archpedi.153.8.887
AB 
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.