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Doctor insights on: What Is Febrile Neutropenia

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Which drug is preferable in treating febrile neutropenia?

Which drug is preferable in treating febrile neutropenia?

Cefepime +- Vanco: In a patient without indwelling catheters or mucositis and without other risk factors for MRSA, cefepime monotherapy is acceptable. if any of above or other risk factors for MRSA are present add vancomycin. ...Read more

Dr. Michael Engel
124 doctors shared insights

Neutropenia (Definition)

Defined numerically as an absolute neutrophil count (anc) less than 1500. From there it is subdivided into mild (1000-1500), moderate (500-1000) and severe (<500). Folks with severe neutropenia are at increased risk for bacterial infections. Mild to moderate, less so. The reason for neutropenia needs to be determined. Treatments range from observation to stem cell ...Read more


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I have febrile neutropenia, what is the best treatment?

I have febrile neutropenia, what is the best treatment?

F&N is a common ...: Reason for hospital admission for cancer patients. Many chemotherapy agents are myelosuppressive and will lead to a low neutrophil count. This impairs pt's ability to fight infection and can attenuate symptoms of serious bacterial infxn. Thus, symptoms can be subtle and its hard to tell if fever means something serious or innocuous. We are cautious so we admit and treat aggressively. ...Read more

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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

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

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 ...Read more

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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?

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?

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. ...Read more

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My baby has chronic benign neutopenia and has a fever of 101.2 what should I do?

My baby has chronic benign neutopenia and has a fever of 101.2 what should I do?

Get evaluated: Chronic benign neutropenia can happen in children as early as 6-12 months. It is defined by low neutrophils for at least 6-8 weeks and often lasts at least 18-24 months. Low neutrophils put children at risk for every day infections such as ear infections, sore throats and possible more serious infections. Children with this condition and fever over 101 degrees should be evaluated and examined. ...Read more

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

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

Oral related problem: Nystain rinses are anti fungal and used to treat candida albicans. Chlorhexidine is anti bacterial and is used to control periodontal infection. Are you having oral issues? ...Read more

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What happens to a person with chronic neutropenia?

What happens to a person with chronic neutropenia?

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. ...Read more

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What is the definition or description of: neutropenia?

What is the definition or description of: neutropenia?

Neutropenia is....: Defined numerically as an absolute neutrophil count (anc) less than 1500. From there it is subdivided into mild (1000-1500), moderate (500-1000) and severe (<500). Folks with severe neutropenia are at increased risk for bacterial infections. Mild to moderate, less so. The reason for neutropenia needs to be determined. Treatments range from observation to stem cell transplant, depending on cause. ...Read more

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Is it normal to have cyclic neutropenia?

It is not: It is normal for the neutrophil number to wax and wane, but when this is in the very low, ie neutropenic, range it is potentially serious. Additional warning signs would be chronic mouth sores or recurrent bacterial infections. ...Read more

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What is abosulte neutropenia and relative eosinophilia?

What is abosulte neutropenia and relative eosinophilia?

Neutropenia is....: Defined as an absolute neutrophil count (anc) less than 1500. From there it is subdivided into mild (1000-1500), moderate (500-1000) and severe (<500). Folks with severe neutropenia are at increased risk for bacterial infections. Mild to moderate, less so. Eosinophils are another type of granulocyte. They play a role in combating parasitic infections. They are ~1-3% of wbcs. ...Read more

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What is idiopathic cyclic neutropenia and how is it treated?

Depends: It is a disorder where the neutrophil count is low in a cyclical pattern. To make the diagnosis, a CBC needs to be checked twice weekly for a few weeks. Typically the patient has recurrent infections. A bone marrow biopsy may need to be done to rule out other disorders. If it needs treatment, then Neupogen is given. This raises the white count. Hope this helps. ...Read more

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What cancers cause neutropenia?

Treatment for cancer: It is generally not cancers that cause neutropenia but the treatment for cancers, especially chemotherapy that suppresses the bone marrow and causes, anemia, low platelets and low white blood cell counts. ...Read more

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Can the flu shot cause neutropenia?

Can the flu shot cause neutropenia?

?: I don't think that the list of se includes neutropenia but someone who has neutropenia should not receive the vaccine. ...Read more

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Will neutropenia lead to raynauds disease?

Will neutropenia lead to raynauds disease?

Raynauds is an auto-: Immune disorder whose pathogenesis involves dysfunction within the adaptive compartment of the immune system. Neutrophils are a component of the innate immune system and is not related to raynaud's phenomenon. ...Read more

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Can klonopin (clonazepam) cause neutropenia?

Can klonopin (clonazepam) cause neutropenia?

Better said that ...: Klonopin (generic name clonazepam) has been associated with neutropenia, but it is not a frequent occurrence. Studies suggest that of those patients that report side effects from taking clonazapam, only ~1% of them report that side effect to be neutropenia. Several co-morbid conditions were reported. Anemia, low plts and pancytopenia, each reversed with Clonazepam cessation, have been reported. ...Read more

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Neutropenia & raynauds disease, what are these?

See below: Neutropenia is a low blood count of neutrophil white blood cells-concern is how low and due to what. Raynauds disease is due to spasm of arteries to the lower arm resulting in pain, blueness, pallor or even redness on exposure to cold or stress and again secondary to something or even not (primary) ...Read more

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Could regular klonopin (clonazepam) usage cause neutropenia?

Yes: Klonipin has been associated with neutropenia. Best to work through this issue with your doctor. It could be "true, true, and unrelated". If you've been on the drug for a wrong time, and are only recently neutropenic, you should be considering alternative explanations or at least exacerbating factors. Good luck. ...Read more

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Eosinophilia and neutropenia? Is that bad or just allergies?

Eosinophilia and neutropenia?  Is that bad or just allergies?

Unlikely: You can see eosinophilia with allergies. However, neutropenia would not be due to allergies. Hopefully your doctor is looking into the cause. ...Read more

Dr. Evan Altman
2 doctors shared insights

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Dr. Gutti Rao
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