A 55-year-old man undergoing chemotherapy for lymphoma presents with fever 38.5 °C and rigors. His neutrophil count is 0.2 x 10⁹/L. Blood pressure is ...

Question

A 55-year-old man undergoing chemotherapy for lymphoma presents with fever 38.5 °C and rigors. His neutrophil count is 0.2 x 10⁹/L. Blood pressure is 105/65 mmHg and heart rate 110 beats/min. What is the most appropriate immediate management?

Accepted Answer

Commence broad-spectrum intravenous antibiotics within 60 minutes

Answer

Observe and repeat bloods in 6 hours

Answer

Start oral amoxicillin and review tomorrow

Answer

Wait for blood culture results before starting antibiotics

Answer

Discharge with paracetamol and advice

au-acem MCQ (SBA): Febrile neutropenia

A 55-year-old man undergoing chemotherapy for lymphoma presents with fever 38.5 °C and rigors. His neutrophil count is 0.2 x 10⁹/L. Blood pressure is 105/65 mmHg and heart rate 110 beats/min. What is the most appropriate immediate management?