PEDIATRIC PUZZLER: Persistent fever in a 6-year-old: Licking the diagnosis

April 1, 2000

The call at 3 a.m. on a warm May morning is from the emergency department. The ED physician is seeing a 6-year-old with a seven- to 10-day history of fever as high as 105? F, swollen glands, lethargy, and poor oral intake.