A 9-month-old girl is brought to the emergency department for evaluation after 3 days of poor feeding and 1 day of decreased activity. The day prior to presentation, she was no longer crawling or pulling herself to stand. On the morning of evaluation, she is no longer able to lift her head.
It’s a Friday morning in the outpatient pediatric clinic when a nurse on the phone with a patient’s mother says that the mother is on the city bus with her 2 daughters on their way to the clinic because the 6-year-old daughter has developed fatigue, body aches, fever, and vomiting since they returned from West Africa.
You are the night float senior on inpatient hospital service when you receive a transfer from an outside hospital of a 5-year-old Hispanic male who presented with 2 days of fever, unilateral neck swelling with torticollis, and neck pain.