A 56-year-old man receiving adjuvant chemotherapy for colon cancer develops neutropenic fever (temperature 38.6°C, absolute neutrophil count 0.3 × 10⁹...

Question

A 56-year-old man receiving adjuvant chemotherapy for colon cancer develops neutropenic fever (temperature 38.6°C, absolute neutrophil count 0.3 × 10⁹/L). He is haemodynamically stable. According to Canadian oncology and infectious disease practice, what is the most appropriate immediate management?

Accepted Answer

Start intravenous broad-spectrum antipseudomonal antibiotics promptly

Answer

Observe and repeat CBC in 12 hours

Answer

Start oral amoxicillin-clavulanate as an outpatient

Answer

Wait for blood culture results before starting antibiotics

Answer

Start oseltamivir empirically

ca-mccqe1 MCQ (SBA): Febrile neutropenia