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Fever in a Child 

Fever in a Child
Fever in a Child
Acute Care Casebook

Shannon Drohan


Acute otitis media (AOM) is a common cause of fever especially in the first two years of life. This condition can be easily diagnosed in a child with an acute illness by presence of middle ear effusion on exam in addition to signs of inflammation revealed by intense erythema or report of otalgia. Recent guidelines recommend a “watchful waiting” approach to treatment in certain patients to help reduce antibiotic usage as most cases of AOM resolve spontaneously. This strategy can be used in children >6 months old with non-severe symptoms, as long as follow-up is ensured to provide a rescue antibiotic if symptoms do not improve within 48-72 hours.

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