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University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository

Specialty

Oncology

Advisor

Dr. Mary Walton

Abstract

Abstract

Fever and neutropenia are known side effects of chemotherapy. Onset usually occurs several days after treatment when blood counts are at their nadir. Despite a comprehensive work-up, an underlying cause for neutropenic fever is not always found. This case report focuses on a patient who developed profound febrile neutropenia immediately after each of three successive chemotherapy treatments. Extensive work ups, including blood cultures x 2 (one from a peripheral vein and another from the patient’s Port-A-Cath), were negative for bacterial or fungal growth. Despite negative blood cultures, the eventual removal of the patient’s Port-A-Cath resolved the febrile neutropenia.

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