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Hypothermia following fever
  1. J Richardson1,
  2. J Sills2
  1. 1Paediatric Dept, Southport and Ormskirk District Hospital, Wigan Road, Ormskirk L39 2AZ, UK;
  2. 2Paediatric Dept, Whiston Hospital, Warrington Road, Prescot, Merseyside L35 5DR, UK

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A 15 month old child presented to A&E with a temperature of 39.2°C. On examination she was fully conscious, tachycardic, and tachypnoeic. Examination revealed crepitations at the left base. A chest x ray confirmed the presence of a left lower lobe pneumonia. She was commenced on intravenous cefuroxime; initial results revealed white cell count 19.1×109/l (neutrophilia) and C reactive protein 126 mg/l.

On arrival to the ward she was found to be …

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