Question 1

i have febrile neutropenia, what is the best treatment?

Accepted Answer

Emergency evaluation: Febrile neutropenia means low neutrophils which play an important in the bodies ability to fight infection. In an neutropenic state the body is susceptible to life threatening infections. If a fever is present during this period most commonly after chemotherapy then it requires an urgent medical evaluation and antibiotics which are usually given IV with growth factors to boost the neutrophil count.

Question 2

how many days does it take to go out febrile neutropenia for 70 yrs old man treated by vidaza for high risk mds? his anc is zero, 20 days post vidaza

Accepted Answer

Should be hospitalized: Febrile neutropenia is an emergency, hospitalization, isolation, broad spectrum antibiotics need to be given till recovery. Other treatments like G-CSF are given as per protocol for each institution, there may other problems causing delayed recovery from neutropenia, which would be assessed by treating team, good luck

Question 3

i've been running 100-101 fever for 4 days. now it's 99.5. am i fever-free & safe to visit chemo patient in isolated ward w/neutropenia and pneumonia?

Accepted Answer

Better not: You had infection. The chemo patient are at high risk of getting infection. Although you are fever free, you may still harbor the bacteria or virus that can transmit to the patient. If you can avoid close contact. Try it, otherwise have good isolation.

Question 4

follow up to "transient moderate neutropenia (0.6451.5 after 10 days)" post. my symptoms were heavy fatigue (multi-hr naps daily) and feeling sick-ish, no fever, anal fissure. neutrophils are now 1.0 after 21 days, barely out of range mchc (31.9)?

Accepted Answer

: Have you seen a hematologist? This is a needed opinion with a case like this, especially if your symptoms, which are non-specific, are being caused by the neutropenia. It would be necessary to know why you are neutropenic to find out what the treatment, if any, should be. So, see a hematologist to interpret your test results and fully evaluate you. See GI for anal fissure. Good luck to you!

Question 5

why do doctors ask to take nystatin / chlorhexidine mouth wash is it scientifically proven to reduce neutropenic fever etc?

Accepted Answer

Cover infection: I think your doctors are trying to prevent you from getting infections, as they have concluded that your blood cell activity for immunity is compromised. The Nystatin is to cover fungal type infections and the chlorohexidine wash is to kill oral bacteria and therefore keep an active center of infection under control.

Question 6

mild neutropenia (1.2-1.4) for three years (annual test) no sign of autoimmunity. should i worry, can ibs-c be a symptom.

Accepted Answer

Possibly benign: Sounds like an ethnic neutropenia, which is a benign condition of neutropenia, more commonly seen in African population. Does not relate to IBS-C.  Seeing a hematologist to rule out other conditions is essential.

Question 7

39yrs old ive had neutropenia since birth. went to the emergency room saturday for extreme anemia hgb 7.8 & platelets was low 116k/ul had a cbc done yesterday my platelets dropped to 100k/ul hgb is the same. could my levels be a sign for leukemia?

Accepted Answer

: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Talk to the doctor who ordered the tests. Having said that, the information you provided can neither diagnose nor rule out leukemia. Appropriate starting test would be WBC count.    
Wish you good health!

Question 8

what causes mpv low 9.1 and platelets to be in normal range 215? i have congenital neutropenia anc 0.25 wbc 1.16 and currently mild normocytic anemic according to bmbiopsy with no signs of malignancy. bone marrow was done 07/2022?

Accepted Answer

: Normal MPV, Mean Platelet Volume, is 7-9 fL so your MPV is not low. Take care.

Question 9

is chronic neutropenia considered an illness?

Accepted Answer

Yes: Low neutrophil counts predispose to infections.

Question 10

what happens to a person with chronic neutropenia?

Accepted Answer

If you are the one..: Who is neutropenic, at 33yo, you would likely know the answer to the question if your neutropenia was clinically significant.  You would have had recurrent bacterial infections, some even life threatening. If your asking for someone else, it depends on the cause of the neutropenia. If the neutropenia is clinically significant, you need to be vigilant and contact your dr for anyfever/infection.

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Doctor answers about:

Febrile neutropenia signs

A member asked:

I have febrile neutropenia, what is the best treatment?

A member asked:

How many days does it take to go out febrile neutropenia for 70 yrs old man treated by vidaza for high risk mds? his anc is zero, 20 days post vidaza

A member asked:

I've been running 100-101 fever for 4 days. now it's 99.5. am i fever-free & safe to visit chemo patient in isolated ward w/neutropenia and pneumonia?

A member asked:

Follow up to "transient moderate neutropenia (0.6451.5 after 10 days)" post. my symptoms were heavy fatigue (multi-hr naps daily) and feeling sick-ish, no fever, anal fissure. neutrophils are now 1.0 after 21 days, barely out of range mchc (31.9)?

A member asked:

Why do doctors ask to take nystatin / chlorhexidine mouth wash is it scientifically proven to reduce neutropenic fever etc?

A member asked:

Mild neutropenia (1.2-1.4) for three years (annual test) no sign of autoimmunity. should i worry, can ibs-c be a symptom.

A member asked:

39yrs old ive had neutropenia since birth. went to the emergency room saturday for extreme anemia hgb 7.8 & platelets was low 116k/ul had a cbc done yesterday my platelets dropped to 100k/ul hgb is the same. could my levels be a sign for leukemia?

A member asked:

What causes mpv low 9.1 and platelets to be in normal range 215? i have congenital neutropenia anc 0.25 wbc 1.16 and currently mild normocytic anemic according to bmbiopsy with no signs of malignancy. bone marrow was done 07/2022?

A member asked:

Is chronic neutropenia considered an illness?

A member asked:

What happens to a person with chronic neutropenia?

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