A preschool-age child is seen in the clinic after waking up a temperature of 102.2°F, swelling and erythema of the upper lid of one eye, and moderate pain when looking from side to side. Which course of treatment is correct?

Question

Quizplus · Accepted Answer

DThe child's symptoms suggest a severe infection, likely preseptal or orbital cellulitis, which can be serious and warrants aggressive treatment. Admission for intravenous antibiotics (A) is appropriate due to the severity of symptoms and the risk of complications, including the potential spread of infection to the orbit, cranial cavities, or bloodstream. Prescribing a 10- to 14-day course of oral antibiotics (D) might be considered for less severe cases or as follow-up treatment after initial IV antibiotics, but in this scenario, the severity suggests that immediate IV antibiotics are necessary. Warm compresses (C) and diagnostic procedures like lumbar puncture and blood culture (B) without initial aggressive antibiotic treatment would not be sufficient given the symptoms and potential for severe complications.

A Preschool-Age Child Is Seen in the Clinic After Waking