Published in Pediatric Annals November 2009
A 10-month-old Boy with ‘Total Body Swelling’
Pediatr Ann. 2009 November;38(11):597
by Robert Listernick, MD
This 10-month-old boy was transferred from an outside hospital because of persistent fever and “total body swelling.” He was well until 3 days before he was admitted, when he developed fever, vomiting, and decreased oral intake. On admission to the outside hospital, he was noted to be febrile and to have a diffuse severe eczematous rash and mild edema. He was given a dose of ceftriaxone and clindamycin and “large” amounts of intravenous fluids because he was felt to be dehydrated. On the second day of admission, the edema became worse, and he was transferred. At the time of transfer, it was noted that the admission blood culture was growing gram-positive cocci in pairs and chains.
ABOUT THE AUTHOR
Dr. Listernick is professor of pediatrics at Feinberg School of Medicine, Northwestern University, and director of the Diagnostic and Consultation Service, Division of General Academic Pediatrics, Children’s Memorial Hospital, Chicago, IL.
doi: 10.3928/00904481-20091016-02
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