A 55-year-old woman receiving chemotherapy presents as triage level 2 with temperature 38.6°C. Absolute neutrophil count is 200/microL, BP is 116/72

Question

A 55-year-old woman receiving chemotherapy presents as triage level 2 with temperature 38.6°C. Absolute neutrophil count is 200/microL, BP is 116/72 mm Hg, and chest radiograph is clear. Which of the following is the most appropriate next step in management?

Accepted Answer

Administer antipseudomonal beta-lactam therapy promptly and admit

Answer

Treat with oseltamivir as single therapy

Answer

Discharge with acetaminophen if she appears well

Answer

Give oral azithromycin alone

Answer

Delay antibiotics until cultures are positive

Febrile neutropenia — ABEM Board MCQ

A 55-year-old woman receiving chemotherapy presents as triage level 2 with temperature 38.6°C. Absolute neutrophil count is 200/microL, BP is 116/72 mm Hg, and chest radiograph is clear. Which of the following is the most appropriate next step in management?