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

A 29-day-old Infant with Poor Feeding and a Rash

DeAnna J. Friedman-Klabanoff and James D. Campbell
Pediatrics in Review January 2021, 42 (Supplement 1) S15-SS18; DOI: https://doi.org/10.1542/pir.2019-0096
DeAnna J. Friedman-Klabanoff
*Center for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
James D. Campbell
*Center for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD
  • 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. DeAnna J. Friedman-Klabanoff, MD*
  2. James D. Campbell, MD, MS*
  1. *Center for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD
  1. Address correspondence to DeAnna Friedman-Klabanoff, MD, University of Maryland School of Medicine, Center for Vaccine Development and Global Health, 685 W Baltimore St, Room 480, Baltimore, MD 21201. E-mail: defriedman{at}som.umaryland.edu
  • AUTHOR DISCLOSURE

    Drs Friedman-Klabanoff and Campbell 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

At postnatal day 29 in early April, a female infant presents to an outside emergency department with her mother because of poor feeding. Her mother states that she just noticed a new area of redness and a lump on her neck as she was taking the infant out of her car seat (Fig 1A). She had no fevers at home. Her mother states that she was born at 34 weeks’ gestation via cesarean delivery due to prolonged premature rupture of membranes. During her 2-week stay in the NICU, she had bradycardia spells, but no need for intubation or antibiotics. No one in her family has been ill before her presentation.

Figure 1.

(A) Appearance of cellulitis upon presentation to the outside emergency department and (B) 4 hours later upon arrival to our pediatric intensive care unit.

On initial assessment, the infant is lethargic and ill appearing with intermittent apnea and oxygen desaturations down to 80%, eventually requiring intubation. On physical examination, she has an area of well-circumscribed erythema overlying her right sternocleidomastoid muscle with underlying indurated nodules. She receives 30 mL/kg of normal saline for tachycardia and delayed capillary refill, and intravenous ampicillin and cefotaxime for presumed sepsis. Her white blood cell count is 10.8 × 103 cells per microliter with 60% segmented neutrophils and 28% bands. Her complete blood cell count is otherwise unremarkable. Her C-reactive protein is 121 mg/L. She is transferred to a tertiary referral hospital for further evaluation and management.

On arrival to the PICU, she is hypothermic to 93.2°F (34°C). She undergoes lumbar puncture. The cell count shows 8 white blood cells per high-power field, which …

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: 42 (Supplement 1)
Pediatrics in Review
Vol. 42, Issue Supplement 1
1 Jan 2021
  • 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.
A 29-day-old Infant with Poor Feeding and a Rash
(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
A 29-day-old Infant with Poor Feeding and a Rash
DeAnna J. Friedman-Klabanoff, James D. Campbell
Pediatrics in Review Jan 2021, 42 (Supplement 1) S15-SS18; DOI: 10.1542/pir.2019-0096

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
A 29-day-old Infant with Poor Feeding and a Rash
DeAnna J. Friedman-Klabanoff, James D. Campbell
Pediatrics in Review Jan 2021, 42 (Supplement 1) S15-SS18; DOI: 10.1542/pir.2019-0096
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
    • Acknowledgment
    • 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

  • Sudden Unilateral Vision Loss in a Teenage Girl
  • A Teenage Boy with Right Forehead Swelling Following Trauma to the Head
  • Tachypnea and Epistaxis in a Full-term Infant
Show more Index of Suspicion

Similar Articles

Subjects

  • Infectious Disease
    • Infectious Disease
    • Vaccine/Immunization
  • 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