A Toddler With Prolonged Fever and Intermittent Cough.

Glob Pediatr Health

Department of Pediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada.

Published: January 2019

Fever of unknown origin is an important diagnostic challenge in pediatrics that requires a thoughtful approach. The differential diagnosis is broad and includes infectious, autoimmune, oncologic, neurologic, genetic, and iatrogenic causes. Infection remains the most common etiology, and uncommon presentations of infections are still more likely than classic presentations of rare conditions. We report a case of a retropharyngeal abscess in a toddler whose presentation is marked by a prolonged fever (>3 weeks). This case highlights the importance of close follow-up with serially repeated history and physical examinations to guide the evaluation of a patient with fever of unknown origin.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348535PMC
http://dx.doi.org/10.1177/2333794X18822999DOI Listing

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