EDDIE, A 2-year-old boy, was visiting family in a neighboring town when he developed a high fever, cough, lethargy but also agitation, and runny nose. One day after the onset of symptoms, Eddie had a seizure and his parents took him to the emergency room (ER). His temperature was 104oF. He was diagnosed with febrile seizures, given acetaminophen and returned home. The physician covering for the primary care practice saw him at 2 and 4 days post ER visit due to his parents’ concerns over the persistent symptoms. He presumed that the patient had a viral illness and prescribed symptomatic treatment. Prior to this incident, Eddie had no history of respiratory illness; his past medical history was unremarkable and he was developmentally appropriate for his age.