A 2 year old girl with fever, cough, and tachypnoea

doi:10.1136/bmj.b1210

Published 10 June 2009, doi:10.1136/bmj.b1210
Cite this as: BMJ 2009;338:b1210

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A 2 year old girl with fever, cough, and tachypnoea

Marc Tebruegge, honorary clinical research fellow¹, Nicole Ritz, honorary clinical research fellow¹, Tom Connell, consultant in paediatric infectious diseases¹, Nigel Curtis, professor and head of paediatric infectious diseases²

¹ Infectious Diseases Unit, Department of General Medicine & Murdoch Children’s Research Institute, Royal Children’s Hospital Melbourne, Victoria 3052, Australia, ² Department of Paediatrics, University of Melbourne, Royal Children’s Hospital Melbourne, Victoria 3052, Australia

N Curtis nigel.curtis@rch.org.au

The first 150 words of the full text of this article appear below.

A 2 year old girl presented to the accident and emergency departmentwith high grade fever (temperature 39.2^oC), cough, tachypnoea(respiratory rate 45 breaths/min), and lethargy. She had beenunwell for six weeks with general malaise and intermittent fever.She had also been anorexic for three weeks and had lost about7% of her body weight. She was born in Australia to parentsfrom the South Pacific Islands. Her routine immunisations wereup to date and her past medical history was unremarkable.

The patient underwent chest radiography (fig 1).