Viewer Question:What are the newest guidelines in treating a 2 year old with a fever of 102.5 (ear) without any source identified. Pt was fully immunized without any health problems and a normal exam. NO hx of febrile seizures. Patient presented with a fever o f 12 hours, was drinking liquids ok and did not look toxic. At what point would you recommend a blood culture, CBC, urine?
Doctor's Response:In a child with only temperature who in all other areas looks well without any physical source for fever most office based pediatricians would observe that child for 48 hrs without considering lab work up. The likelihood of a viral process is high and certainly higher is the child attends daycare. Assuming that parents are aware of what changes to watch for (following your instructions) many pediatricians would observe the child for now.
Thank you for your question.
Last Editorial Review: 3/8/2002