Fever without source in children less than 2 years of age
#peds
Common life-threatening infections acquired perinatally
•Group B streptococcus
•Escherichia coli (and other gram negative enterics)
•Listeria monocytogenes
•Herpes simplex virus (↑ LFTs: 200-300) - important to know b/c treatable
•Enteroviruses
Important bacterial pathogens in toxic appearing infants (age in days - freq - pathogens)
>>0-28 - most common - GBS, e coli
>>>>less common - listeria monocyotogenes, s aureus, GAS, k pneumoniae
>>29-90 - most common - GBS, e coli
>>>>less common - s pneumo, n meningitidis, l monocytogenes, s aureus, GAS
>> 91+ - most common - s pneumo
>>>>less common - s aureus, GAS, n meningitidis
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Details