if well appearing and
- < 12 months, work up + antibiotics --> admit
- > 12 months, work up and if WBC between 5000 - 15000 and other labs unremarkable --> d/c +/- antibiotics
consider checking rapid strep as part of work up given that streptococcal pharyngitis can present with petechiae
Source
The Pediatric Emergency Medicine Resource. 4th ed.