A 55-year-old woman receiving chemotherapy for breast cancer presents with fever 38.5°C and rigors. Her neutrophil count is 0.3 ×10^9/L. She looks unw...

Question

A 55-year-old woman receiving chemotherapy for breast cancer presents with fever 38.5°C and rigors. Her neutrophil count is 0.3 ×10^9/L. She looks unwell but has stable blood pressure. What is the most appropriate immediate management?

Accepted Answer

Start broad-spectrum IV antibiotics immediately and admit urgently

Answer

Discharge with oral antibiotics

Answer

Wait for blood culture results before giving antibiotics

Answer

Give prophylactic G-CSF alone

Answer

Treat with paracetamol only and observe

uk-plab-1 MCQ (SBA): Neutropenic sepsis

A 55-year-old woman receiving chemotherapy for breast cancer presents with fever 38.5°C and rigors. Her neutrophil count is 0.3 ×10^9/L. She looks unwell but has stable blood pressure. What is the most appropriate immediate management?