A 70-year-old woman with atrial fibrillation and heart failure is admitted with community-acquired pneumonia and neutrophil count 0.3 ×10⁹/L following...

Question

A 70-year-old woman with atrial fibrillation and heart failure is admitted with community-acquired pneumonia and neutrophil count 0.3 ×10⁹/L following chemotherapy. She is febrile but haemodynamically stable. According to febrile neutropenia guidelines, what is the most appropriate immediate therapy?

Accepted Answer

Start intravenous broad-spectrum antipseudomonal beta-lactam

Answer

Start high-dose oral amoxicillin

Answer

Delay antibiotics until cultures are back

Answer

Use oral ciprofloxacin alone

Answer

Observe without antibiotics unless hypotension develops

ca-mccqe1 MCQ (SBA): Febrile neutropenia