Skip to main content

Advertising Disclaimer »

Main menu

  • Journals
    • Pediatrics
    • Hospital Pediatrics
    • Pediatrics in Review
    • NeoReviews
    • AAP Grand Rounds
    • AAP News
  • Authors
    • Submit Manuscript
    • Author Guidelines
  • Content
    • Current Issue
    • Complete Issue PDF
    • Archive
    • Topic/Program Collections
    • Blog
  • Multimedia
    • Teaching Slides
    • Pediatrics On Call Podcast
  • CME/MOC
    • CME Quizzes
    • MOC Claiming
  • Subscribe
  • Alerts
  • Careers
  • Other Publications
    • American Academy of Pediatrics

User menu

  • Log in

Search

  • Advanced search
American Academy of Pediatrics

AAP Gateway

Advanced Search

AAP Logo

  • Log in
  • Journals
    • Pediatrics
    • Hospital Pediatrics
    • Pediatrics in Review
    • NeoReviews
    • AAP Grand Rounds
    • AAP News
  • Authors
    • Submit Manuscript
    • Author Guidelines
  • Content
    • Current Issue
    • Complete Issue PDF
    • Archive
    • Topic/Program Collections
    • Blog
  • Multimedia
    • Teaching Slides
    • Pediatrics On Call Podcast
  • CME/MOC
    • CME Quizzes
    • MOC Claiming
  • Subscribe
  • Alerts
  • Careers
American Academy of Pediatrics
Index of Suspicion

Case 3: Sore Throat and Fever in a 4-year-old Boy

Katsuaki Kojima, Melissa Rosenberg and B. Keith English
Pediatrics in Review September 2016, 37 (9) 397-398; DOI: https://doi.org/10.1542/pir.2016-0006
Katsuaki Kojima
*Departments of Pediatrics and Human Development, College of Human Medicine;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Melissa Rosenberg
†Department of Pediatrics, College of Osteopathic Medicine, Michigan State University, East Lansing, MI.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
B. Keith English
*Departments of Pediatrics and Human Development, College of Human Medicine;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Info & Metrics
  • Comments
Loading

This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.

Download PDF
  1. Katsuaki Kojima, MD*
  2. Melissa Rosenberg, MD†
  3. B. Keith English, MD*
  1. *Departments of Pediatrics and Human Development, College of Human Medicine;
  2. †Department of Pediatrics, College of Osteopathic Medicine, Michigan State University, East Lansing, MI.
  • AUTHOR DISCLOSURE

    Drs Kojima, Rosenberg, and English have disclosed no financial relationships relevant to this article. This commentary does not contain a discussion of an unapproved/investigative use of a commercial product/device.

Presentation

A 4-year-old previously healthy and fully immunized boy presents with a 2-day history of sore throat and a 1-day history of fever and drooling. He awakened today with worsening sore throat, drooling, and subjective fever. He complains of pain during swallowing and refuses oral intake. He has no cough, congestion, sick contacts, or recent travel. His prenatal, natal, and postnatal histories contain no significant information. His immunizations are up to date.

At initial presentation, his temperature is 39.6°C (103.4°F), heart rate is 160 beats per minute, respiratory rate is 22 breaths per minute, and oxygen saturation is 95% in room air. Physical examination reveals an alert and interactive boy who is drooling and appears uncomfortable. He is in the tripod position and has a muffled voice but no stridor, nasal flaring, or labored breathing. His chest is clear to auscultation bilaterally. His neck is supple and has no swelling, erythema, or tenderness. His throat is not examined. Findings on the remainder of the physical examination are unremarkable.

Results of laboratory evaluation include:

  • White blood cell count 30,900/μL (30.9 × 109/μL), with 66% segmented …

Individual Login

Log in
You will be redirected to aap.org to login or to create your account.

Institutional Login

via Institution

You may be able to gain access using your login credentials for your institution. Contact your librarian or administrator if you do not have a username and password.

Log in through your institution

If your organization uses OpenAthens, you can log in using your OpenAthens username and password. To check if your institution is supported, please see this list. Contact your library for more details.

Pay Per Article - You may access this article (from the computer you are currently using) for 2 days for US$25.00

Regain Access - You can regain access to a recent Pay per Article purchase if your access period has not yet expired.

Offer Reprints

PreviousNext
Back to top

Advertising Disclaimer »

In this issue

Pediatrics in Review: 37 (9)
Pediatrics in Review
Vol. 37, Issue 9
1 Sep 2016
  • Table of Contents
  • Table of Contents (PDF)
  • About the Cover
  • Index by author
  • Complete Issue (PDF)
View this article with LENS
PreviousNext
Email Article

Thank you for your interest in spreading the word on American Academy of Pediatrics.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Case 3: Sore Throat and Fever in a 4-year-old Boy
(Your Name) has sent you a message from American Academy of Pediatrics
(Your Name) thought you would like to see the American Academy of Pediatrics web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Request Permissions
Article Alerts
Log in
You will be redirected to aap.org to login or to create your account.
Or Sign In to Email Alerts with your Email Address
Citation Tools
Case 3: Sore Throat and Fever in a 4-year-old Boy
Katsuaki Kojima, Melissa Rosenberg, B. Keith English
Pediatrics in Review Sep 2016, 37 (9) 397-398; DOI: 10.1542/pir.2016-0006

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Case 3: Sore Throat and Fever in a 4-year-old Boy
Katsuaki Kojima, Melissa Rosenberg, B. Keith English
Pediatrics in Review Sep 2016, 37 (9) 397-398; DOI: 10.1542/pir.2016-0006
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
Print
Download PDF
Insight Alerts
  • Table of Contents

Jump to section

  • Article
    • Presentation
    • Discussion
    • Suggested Readings
  • Info & Metrics
  • Comments

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Thrombocytopenia in a 7-day-old Male
  • Failure to Thrive in a 15-month-old with a History of Head Trauma
  • A Young Child with Subacute Onset of Behavioral Changes
Show more Index of Suspicion

Similar Articles

Subjects

  • Emergency Medicine
    • Emergency Medicine
  • Infectious Disease
    • Infectious Disease
    • Vaccine/Immunization
  • Ear, Nose & Throat Disorders
    • Ear, Nose & Throat Disorders
  • Critical Care
    • Critical Care
  • Journal Info
  • Editorial Board
  • ABP Content Specifications Map
  • Overview
  • Licensing Information
  • Authors
  • Author Guidelines
  • Submit My Manuscript
  • Librarians
  • Institutional Subscriptions
  • Usage Stats
  • Support
  • Contact Us
  • Subscribe
  • Resources
  • Media Kit
  • About
  • International Access
  • Terms of Use
  • Privacy Statement
  • FAQ
  • AAP.org
  • shopAAP
  • Follow American Academy of Pediatrics on Instagram
  • Visit American Academy of Pediatrics on Facebook
  • Follow American Academy of Pediatrics on Twitter
  • Follow American Academy of Pediatrics on Youtube
American Academy of Pediatrics

© 2021 American Academy of Pediatrics