Today, I saw a 3 year old, previously healthy female in emergency department because of her parents concern about her rectal temperature of 34.3 (on multiple occasions) one hour prior to presentation. She was warmed and brought to us. She was in a warm atmosphere in her room. She started to have fever, runny nose and sore throat 3 days when she was seen by her pediatrician which prescribed a cefixime for a diagnosis of acute tonsillits with diclofenac and panadol for fever. Today she had two doses of diclofenac and panadol few hours before having the hypothermia. Upon arrival to ER, she was active and well-looking. Her vitals were: T 37.1, HR 130, BP 100/60, RR 22 and SaO2 98%. What's the most likely cause of her hypothermia?
- Sepsis
- Hypothyrodism
- Environmental heat loss
- Medication-induced
