I have a 5 year old female patient with delay development since birth. My patient has a history of spastic quadriplegia, aspiration pneumonia and epilepsy. Epilepsy is a disorder in which nerve cell activities in the brain are disturbed. She is also a G-tube dependent. My patient was admitted to the UW Children Hospital on October 20, 2015 for fever, persistent vomiting, and dehydration. At the time that my patient was admitted, the doctor thought that her fever could be from viral upper respiratory infection (URI) as my patient had URI symptoms for the past several days such as runny nose, and cough. These symptoms occur in correlated with her fever onset. The doctor also thought that another possibility that might correlate with her fever