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, […]
Cancer Emergencies
Leukostasis occurs with WBC count greater than 50,000 with symptoms (usually 100,000), predominantly pulmonary and neurologic symptoms.80% of patients will have fever, so treat for infection concurrently. Chemotherapy is the only treatment that decreases mortality, but if not available, leukopheresis is the next step. Neutropenic fever is defined as a single oral temperature greater than […]
