A 64-year-old man on chemotherapy for lymphoma presents with a temperature of 38.5°C, feeling unwell and rigors. His neutrophil count is 0.3 × 10⁹/L. ...

Question

A 64-year-old man on chemotherapy for lymphoma presents with a temperature of 38.5°C, feeling unwell and rigors. His neutrophil count is 0.3 × 10⁹/L. What is the most appropriate immediate management?

Accepted Answer

Urgent intravenous broad-spectrum antibiotics within 1 hour

Answer

Oral antibiotics and review in 48 hours

Answer

Observe without antibiotics until culture results are available

Answer

Start prophylactic low molecular weight Heparin only

Answer

Advise paracetamol and GP review tomorrow

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

A 64-year-old man on chemotherapy for lymphoma presents with a temperature of 38.5°C, feeling unwell and rigors. His neutrophil count is 0.3 × 10⁹/L. What is the most appropriate immediate management?