A 7-month-old girl presented with daily fever for 1month before presentation. Mother reported daily fevers, temperatures ranging between 101 and 104°F. Her fevers resolved for a week in between the course of 1month. However, she again started developing fevers ranging between 102 and 104°F along with arching of her back for the past 1week before presentation. Her mother also noted increased irritability, especially when she would try to lay her flat on the back, increased sleepiness and decreased interaction. She had 3 episodes of emesis which were non-bloody and non-bilious and contained undigested formula milk. Hence, her mother decided to bring her to the emergency department.
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