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Old 05-29-2011
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Question Febrile Neutropenia; Most common infection!

What's the most common cause of febrile neutropenia post chemotherapy/and in general?

UsmleW confuses me; it mentions it twice, and one time it says : Pseudomonas and in the second time they say: Gram Positive
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Old 05-29-2011
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Before it was Gram negative, nowadays it's Gram positive

See this
Febrile Neutropenia; Most common infection!-gramgraph.jpg
click image to enlarge

Ref: http://cid.oxfordjournals.org/conten....full.pdf+html
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Old 05-29-2011
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In UsmleWorld i am 100 percent sure they had Pseudomonas in one question as the msot common cause. I will answer G+ though because of your remark and the second UW question

Thanks
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Quote:
Originally Posted by docoftheworld View Post
What's the most common cause of febrile neutropenia post chemotherapy/and in general?

UsmleW confuses me; it mentions it twice, and one time it says : Pseudomonas and in the second time they say: Gram Positive
he means by G+ a MRSA (with Hx of indwelling intravenous catheter with local signs suggestive of infection (erythema, discharge, tenderness) or perhaps if the patient has mucositis from recent chemotherapy or multiple admissions to the hospital.)
and also pseudomonas

so the Mx is Monotherapy with either imipinem or Maxipime (cefepime) is usually enough, with the addition of vancomycin if MRSA suspected
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