My patient (10 years old) has been suffering for 3 days from a high fever. First, he complaint about headaches and fatigue, but these are abated the same day. With continuing high fever – 102.2 ° F - and a massive swelling of the entire cervical lymph nodes was carried out, this investigation showed leukocytosis. Meningitis negative sign, ears and neck unremarkable. In cases of suspected bacterial infection antibiotic (cephalosporin) was prescribed.
Taking the antibiotic for lunch the fever continued to rise until the evening to 104 ° F and a general malaise came about. There was the idea in the hospital, repeated blood samples in which exhibited here is a left shift. Repeated studies have shown again no meningitis signs, lung and bronchus unobtrusively, in the neck now probably pus roads visible and probably sinusitis. It should be noted that my patient has no neck pain, no knocking…
