Neutropenic Fever

Don’t be fooled. The patient with no immune system deserves significant respect and requires our vigilance.- Sean M. Fox MD

Neutropenic Fever

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Neutropenic Fever Syndrome

The management’s holy grail is antibiotics, but with such diverse and elite targets, where do you shoot? Let us try and oversimplify this: If the bugs are coming from our gut, they better be gram-negative rods (Pseudomonas aeruginosa!) That was so very true back in the day. Now, with the introduction to long-term indwelling central venous catheters, the empiric antibiotics to cover P. aeruginosa, and other gram negatives (Ciprofloxacin)– Staphylococcus epidermidis is winning the race. The gram-negatives are catching up; 60:40 is the score currently.

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Last Updated : Wednesday, July 20, 2022