Neutropaenic fever in kids

Don’t be fooled. The patient with no immune system deserves significant respect and requires our vigilance.
Be thorough.Where is the source? Look at the mucous membranes and consider necrotizing fasciitis (i.e., look in the perineum)!
Be aggressive! If the child looks sick, throw all of the antibiotics at them. If the child looks well, monotherapy is recommended.
High Risk vs Low Risk… don’t decide alone. Your physical exam and lab results will help determine whether a patient is high risk or low risk, but that determination should be made concurrently with the patient’s oncologist.