Background: The indications for lumbar puncture (LP) among febrile infants 29-60 days old continue to evolve. We studied febrile infants age 29-60 days with an ED visit and compared the characteristics and outcomes of those with and without an LP. We also describe the clinical course of infants receiving antibiotics before or after the LP. [...]

Background: The clinical evaluation of febrile infants less than 28 days has been extensively studied with the aim to improve the sensitivity in identifying those infants at risk for invasive bacterial infections while decreasing the harm of unnecessary invasive diagnostic procedures. Even though bacterial meningitis is associated with high morbidity and mortality, the incidence is [...]

Case Presentation: A previously healthy 11-month-old female was admitted to the hospital with new onset of skin lesions. One month prior to admission, her parents noticed “bumps on her bottom.” They initially thought the bumps were secondary to insect bites, and took her to a local urgent care, where she was prescribed topical antibiotic ointment. [...]

Case Presentation: A 2-month-old male, born at 32 weeks, presented with nasal congestion, fever and respiratory distress requiring supplemental oxygen. Mother reported that he was hospitalized for bronchiolitis 2 weeks ago and was discharged home on oxygen. On admission CBC, CMP, UA, CSF studies, blood and urine culture were all normal. Chest X-Ray was consistent [...]

Case Presentation: A 6-month-old term female with history of mild reflux presented to the pediatric emergency department for seizure-like activity. Her mother described three episodes of eyes jerking and head bobbing, each occurring on waking from a nap and lasting about 30 seconds. She reported the patient’s eyes jerking rapidly to the right and slower [...]

Case Presentation: A previously healthy 7-week-old female presented to the infectious disease service with a 7-day history of fever, papular rash of the face and body, edema of the hands and feet, and cracking of the lips. A diagnosis of incomplete Kawasaki Disease (KD) was confirmed by demonstration of aneurysmal dilation of the right coronary [...]

Case Presentation: A 57-day old ex-term, Caucasian female presented with one day of diffuse rash and fever in the setting of congestion and a sick sibling. Her rash was initially attributed to viral erythema multiforme. She was well-appearing but given vulnerable age and elevated band count, she was admitted for observation. With improvement of her [...]

Case Presentation: A 4-month-old, Filipina female presented with 5 days of fever, irritability, and left jaw and neck swelling. Physical exam revealed bilateral conjunctivitis, blanching migratory macular erythema of the forehead and abdomen, and edema with erythema of the left neck that also obscured the angle of the left jaw. Ultrasound showed enlarged left parotid [...]

Case Presentation: A previously healthy 7-month-old male infant was admitted after having a new onset 10-minute seizure. He was exclusively breastfed until 2 weeks prior to admission. His mother reported decreased oral intake since switching to formula and introducing solid foods. The infant had not been taking any vitamins.Physical exam: The patient was afebrile, alert, [...]

Case Presentation: A 20-day-old female former full-term, appropriate for gestational age infant presented to the pediatrician’s office for her first checkup. She was born via uncomplicated vaginal delivery following a normal pregnancy and had normal newborn screening results. She was exclusively breastfed. She was found to be 27% below birth weight and was therefore urgently [...]