A 60-year-old man on chemotherapy for acute myeloid leukaemia presents with fever of 38.5°C and rigors. His neutrophil count is 0.2 × 10⁹/L. Blood pre...

Question

A 60-year-old man on chemotherapy for acute myeloid leukaemia presents with fever of 38.5°C and rigors. His neutrophil count is 0.2 × 10⁹/L. Blood pressure is 100/60 mmHg. What is the most appropriate immediate management?

Accepted Answer

Give immediate broad-spectrum intravenous antibiotics within 1 hour

Answer

Arrange urgent outpatient review within 24 hours

Answer

Start oral Amoxicillin in the clinic

Answer

Wait for blood culture results before starting antibiotics

Answer

Prescribe Paracetamol and observe for 12 hours

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

A 60-year-old man on chemotherapy for acute myeloid leukaemia presents with fever of 38.5°C and rigors. His neutrophil count is 0.2 × 10⁹/L. Blood pressure is 100/60 mmHg. What is the most appropriate immediate management?