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
Cases

Fever and Odynophagia in a 4-year-old Girl

Peter Cosgrove and Kartik Pillutla
Pediatrics in Review October 2020, 41 (Supplement 1) S6-S7; DOI: https://doi.org/10.1542/pir.2017-0048
Peter Cosgrove
*Department of Emergency Medicine, Boston Children’s Hospital, Boston, MA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Kartik Pillutla
†Department of Pediatric Nephrology, Dell Children’s Medical Center, Austin, Texas
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • 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. Peter Cosgrove, MBBChBAO*
  2. Kartik Pillutla, MD†
  1. *Department of Emergency Medicine, Boston Children’s Hospital, Boston, MA
  2. †Department of Pediatric Nephrology, Dell Children’s Medical Center, Austin, Texas
  • AUTHOR DISCLOSURE

    Drs Cosgrove and Pillutla 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 girl presented to the emergency department with a 2-day history of fever, poor oral intake, and nasal congestion. Three months prior she received a deceased-donor renal transplant for end-stage renal disease due to diffuse mesangial sclerosis. Prior to transplant she was Epstein-Barr virus (EBV) immunoglobulin G negative. The patient was on standard immunosuppression after her transplant including tacrolimus, mycophenolate mofetil, and prednisone.

In the emergency department she had a low-grade fever and bilateral pharyngeal tonsillar exudates without trismus. She had a positive result on rapid EBV testing and a negative rapid streptococcal test result.

Eight days later she developed worsening shortness of breath, loss of appetite, and lethargy. In the emergency room she was found to be in …

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: 41 (Supplement 1)
Pediatrics in Review
Vol. 41, Issue Supplement 1
1 Oct 2020
  • 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.
Fever and Odynophagia in a 4-year-old Girl
(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
Fever and Odynophagia in a 4-year-old Girl
Peter Cosgrove, Kartik Pillutla
Pediatrics in Review Oct 2020, 41 (Supplement 1) S6-S7; DOI: 10.1542/pir.2017-0048

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Fever and Odynophagia in a 4-year-old Girl
Peter Cosgrove, Kartik Pillutla
Pediatrics in Review Oct 2020, 41 (Supplement 1) S6-S7; DOI: 10.1542/pir.2017-0048
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
    • The Condition
    • Patient Course
    • References
  • Figures & Data
  • 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

  • A Neonate with Blisters
  • Persistent Toe-Walking in a Developmentally Normal 7-year-old Girl
Show more Cases

Similar Articles

Subjects

  • Evidence-Based Medicine
    • Evidence-Based Medicine
  • Emergency Medicine
    • Emergency Medicine
  • Health Information Technology
    • Biomedical Informatics
  • 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