{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T09:18:53Z","timestamp":1770887933307,"version":"3.50.1"},"reference-count":43,"publisher":"American Academy of Pediatrics (AAP)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,1,1]]},"abstract":"<jats:p>A 34-day-old previously healthy boy born full term presented to the emergency department with fever at home (38.1\u00b0C), fussiness, and decreased oral intake for 1 day. He was difficult to console at home. He had decreased oral intake without emesis, diarrhea, or a change in urine output. He did not have rhinorrhea, cough, or increased work of breathing noted by parents. He lived at home with his parents and 13-year-old brother, did not attend day care, and had no sick contacts. On examination, he was fussy but consolable. He was febrile to 39.3\u00b0C, tachycardic (180 beats per minute), and tachypneic (64 breaths per minute), with mottling and a capillary refill of 3 seconds. The remainder of his examination was normal, without an infectious focus for his fever. A complete blood cell count with differential revealed leukocytosis. A basic metabolic panel was normal. A catheter urinalysis was normal. Cerebrospinal fluid examination yielded pleocytosis, low glucose, and elevated protein. Blood cultures were persistently positive with methicillin-sensitive Staphylococcus aureus, but cerebrospinal fluid cultures remained negative. We present his case, management, and ultimate diagnosis.<\/jats:p>","DOI":"10.1542\/peds.2015-1406","type":"journal-article","created":{"date-parts":[[2015,12,8]],"date-time":"2015-12-08T14:29:58Z","timestamp":1449584998000},"source":"Crossref","is-referenced-by-count":7,"title":["A 34-Day-Old With Fever, Cerebrospinal Fluid Pleocytosis, and<i>Staphylococcus aureus<\/i>Bacteremia"],"prefix":"10.1542","volume":"137","author":[{"given":"Kimberly","family":"Horner","sequence":"first","affiliation":[{"name":"Divisions of Department of Pediatrics, Emergency Medicine,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaki","family":"Yamada","sequence":"additional","affiliation":[{"name":"Infectious Diseases, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giulio","family":"Zuccoli","sequence":"additional","affiliation":[{"name":"Departments of Radiology and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stacy","family":"Rosenberg","sequence":"additional","affiliation":[{"name":"Allergy and Immunology,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Greene","sequence":"additional","affiliation":[{"name":"Neurosurgery, The Children\u2019s Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kishore","family":"Vellody","sequence":"additional","affiliation":[{"name":"Diagnostic Referral Group, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noel S.","family":"Zuckerbraun","sequence":"additional","affiliation":[{"name":"Divisions of Department of Pediatrics, Emergency Medicine,"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2016,1,1]]},"reference":[{"issue":"20","key":"2021120907203152100_B1","doi-asserted-by":"crossref","first-page":"1437","DOI":"10.1056\/NEJM199311113292001","article-title":"Outpatient management without antibiotics of fever in selected infants.","volume":"329","author":"Baker","year":"1993","journal-title":"N Engl J Med"},{"issue":"4","key":"2021120907203152100_B2","doi-asserted-by":"crossref","first-page":"866","DOI":"10.1542\/peds.108.4.866","article-title":"Enhanced urinalysis improves identification of febrile infants ages 60 days and younger at low risk for serious bacterial illness.","volume":"108","author":"Herr","year":"2001","journal-title":"Pediatrics"},{"issue":"2","key":"2021120907203152100_B3","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1542\/peds.108.2.311","article-title":"Predictive model for serious bacterial infections among infants younger than 3 months of age.","volume":"108","author":"Bachur","year":"2001","journal-title":"Pediatrics"},{"issue":"4","key":"2021120907203152100_B4","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/j.cpem.2008.09.005","article-title":"The febrile infant: what\u2019s new? 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