Case series of infants presenting to the emergency department

Am J Emerg Med · Aug 2024

Case Reports

Case series of infants presenting to the emergency department with fever, bulging anterior fontanelle and COVID-19 infection.

We present a three patient case series of infants who presented to the pediatric emergency department with fever, bulging anterior fontanelle (BAF), and an omicron variant COVID-19 infection. All patients had a benign course, none developed meningitis, and all had symptom resolution after two days. ⋯ This case series adds to the previously published case reports of infants with COVID-19, fever and BAF and further describes a variant in the presenting symptomology of COVID-19 infection in infants under 12 months. Acute and primary care providers who treat infants should consider COVID-19 testing in patients who are well appearing, with fever and BAF.

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- Michael Schlegelmilch, Dana Stewart, William MacDougall, and Jamil N Kanji.
- Section of Pediatric Emergency Medicine, Department of Pediatrics, Cumming School of Medicine, Calgary, AB, Canada. Electronic address: michael.schlegelmilch@albertahealthservices.ca.
- Am J Emerg Med. 2024 Aug 1; 82: 214.e5214.e6214.e5-214.e6.
AbstractWe present a three patient case series of infants who presented to the pediatric emergency department with fever, bulging anterior fontanelle (BAF), and an omicron variant COVID-19 infection. All patients had a benign course, none developed meningitis, and all had symptom resolution after two days. Considerations for neuroimaging and lumbar puncture are discussed. This case series adds to the previously published case reports of infants with COVID-19, fever and BAF and further describes a variant in the presenting symptomology of COVID-19 infection in infants under 12 months. Acute and primary care providers who treat infants should consider COVID-19 testing in patients who are well appearing, with fever and BAF.Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.

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Case series of infants presenting to the emergency department with fever, bulging anterior fontanelle and COVID-19 infection.

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