Approach to a fever (0-60 days) Quiz: Ace Your Exams
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An 8-day-old boy is brought to the emergency department for evaluation of an observed seizure-like episode that has resolved. Parents are visibly upset and have difficulty providing a clear clinical history. They report that they had limited prenatal care. Parents report that the pediatrician believes the infant was born at 38 weeks per the Ballard score. He has been formula-feeding well and has seen the pediatrician once since discharge from the hospital. Temperature is 38.8°C (101.8°F), pulse is 185/min, respirations are 46/min, blood pressure is 75/45 mmHg, and oxygen saturation is 98% on room air. On physical examination, the patient appears lethargic. The anterior fontanelle is open and bulging. There are no rhinorrhea, hepatomegaly, or skeletal abnormalities. No murmur is appreciated. Pulmonary examination is normal. A rash is noted along the right shoulder and arm. Which of the following tests would confirm the underlying diagnosis?
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