A 60-year-old man with acute myeloid leukaemia undergoing chemotherapy presents with fever of 38.5 °C and absolute neutrophil count 0.2 x 10^9/L. He i...

Question

A 60-year-old man with acute myeloid leukaemia undergoing chemotherapy presents with fever of 38.5 °C and absolute neutrophil count 0.2 x 10^9/L. He is haemodynamically stable. What is the most appropriate immediate management?

Accepted Answer

Immediate broad-spectrum IV antibiotics and hospital admission

Answer

Observe and repeat temperature in 4 hours

Answer

Oral amoxicillin at home

Answer

Start antiviral therapy only

Answer

Wait for blood culture results before therapy

au-acem MCQ (SBA): Febrile neutropenia

A 60-year-old man with acute myeloid leukaemia undergoing chemotherapy presents with fever of 38.5 °C and absolute neutrophil count 0.2 x 10^9/L. He is haemodynamically stable. What is the most appropriate immediate management?