Question

A 58-year-old woman with breast cancer on chemotherapy presents with a temperature of 38.5°C and feeling unwell. Her neutrophil count is 0.3 × 10⁹/L. What is the most appropriate immediate management?

Accepted Answer

Start broad-spectrum IV antibiotics immediately and admit

Answer

Reassure and review in 24 hours

Answer

Give Paracetamol and discharge

Answer

Start oral Amoxicillin in the community

Answer

Wait for blood culture results before starting antibiotics

Practice question

A 58-year-old woman with breast cancer on chemotherapy presents with a temperature of 38.5°C and feeling unwell. Her neutrophil count is 0.3 × 10⁹/L. What is the most appropriate immediate management?