PUZZLER
Hypertension in an infant girl
Erica A Wang, MD; Gary Lerner, MD; Michelle A Thompson, MD

THE CASE

Credit: Author supplied

A previously healthy 8-month-old girl presented to the emergency department with fever and increased work of breathing. She was hospitalized for hypoxia attributed to community-acquired pneumonia, treated with ceftriaxone, and weaned to room air over several days. On the morning of planned discharge, she was noted to have had persistently elevated blood pressures for the past 12 hours. No lethargy, irritability, vomiting, or change in the quantity or quality of urination had been noted.