For a health care provider to comply with the Transaction

A 13-month old girl presented to the emergency room for examination at 6:15 AM with a fever of 39 ºC, lasting for over two days with rapid onset and no other symptoms or known reasons. Her perinatal and family history was unremarkable, and there were no known immunological issues. The family denies any sick contacts. The child has no known food, environmental, or medication allergies. The child is not currently taking any medications. Bloodwork revealed leukocytosis (a high white blood cell (WBC) count) at a value of 17,478/μL. The absolute neutrophil counts were also high (ANCs: 8,455/μL), as was the C-reactive protein (CRP: 4.72 mg/dL). Blood culture was negative for bacteria. Contrast-enhanced computed tomography (contrast CT scan) showed that part of the child’s left renal tissue had reduced contrast enhancement, indicating pyelonephritis. Urine samples were collected via catheterization following proper procedure. Urine samples were cultured, indicating the presence of a seemingly single, unknown bacterial species.

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