Clinical Practice and Cases in Emergency Medicine
Beware of the Zebra: Nine-year-old with Fever
- Author(s): Lupez, Kathryn
- Allen, Bryant
- Fox, Sean
- Lewis, Margaret
- et al.
Published Web Locationhttps://doi.org/10.5811/cpcem.2019.5.42119
An otherwise healthy nine-year-old female who spoke only French presented with abdominal pain, vomiting, intermittent fevers, fatigue, and headache. She then quickly became febrile and altered requiring intubation. When treating a healthy child, the physician may initially develop a differential that includes common illnesses. Yet, as emergency medicine providers, we must be thinking about the “zebras” in order to not miss potentially deadly, curable diseases.