• Neutropenia: ANC < 500/mcL OR expected to decrease to < 500/mcL within 48 hours
  • Fever: single oral temperature ≥ 38.3°C (101°F) OR ≥ 38°C (100.4°F) for at least 1 hour

Epidemiology


Etiology


  • Low ANC: typically results from cancer therapy
  • Source of fever: neutropenic fever without an identifiable source (eg, normal chest x-ray, normal urine culture, normal examination) is believed to be caused by translocation of endogenous bacteria into the bloodstream from mucositis, which results from chemotherapy-induced disruption of the gastrointestinal epithelium.

Pathophysiology


Clinical features


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Diagnostics


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Treatment


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