Abstract
A 2 year old female presents to the emergency department with a 5 day history of fever up to 39.5°C and poor oral intake. She has visited the GP twice since the onset of illness, firstly diagnosed with a viral upper respiratory tract infection, and on the second visit diagnosed with tonsillitis and prescribed Penicillin V. Her mother is concerned that today the fever is not responding to paracetamol and ibuprofen. There is no history of foreign travel and she is fully immunised.
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