Febrile neutropenia in patient with a solid tumor. Case report.

Authors

DOI:

https://doi.org/10.24197/cl.28.2023.23-30

Keywords:

Febril neutropenia, Cancer, Solid tumor, CISNE, MASCC

Abstract

Febrile neutropenia is a common syndrome in patients receiving chemotherapy. The state of immunosuppression can reduce the clinical expression of the disease in the first hours and cover up potential serious complications. This is an oncological emergency and patients should receive empirical antibiotic therapy within the first hour. Scales have been developed in order to determine stable patients with a higher risk of developing complications.
This article reports a clinical case of febrile neutropenia in a 59-year-old patient with squamous cell carcinoma of the lung and treatment with cisplatin-vinorelbine. Different aspects of febrile neutropenia will be reviewed such as etiology, diagnosis, prognosis and treatment.

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References

Cuidados Continuos - SEOM: Sociedad Española de Oncología Médica © 2019 [Internet]. seom.org. [cited 2023 Jan 16]. Available from: https://seom.org/publicaciones/publicaciones-seom/libros-cuidados-continuos

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Fonseca PJ, Carmona-Bayonas A, García IM, Marcos R, Castañón E, Antonio M, et al. A nomogram for predicting complications in patients with solid tumours and seemingly stable febrile neutropenia. Br J Cancer. 24 de mayo de 2016;114(11):1191-8.

Taplitz RA, Kennedy EB, Bow EJ, Crews J, Gleason C, Hawley DK, Langston AA, Nastoupil LJ, Rajotte M, Rolston K, Strasfeld L, Flowers CR. Outpatient Management of Fever and Neutropenia in Adults Treated for Malignancy: American Society of Clinical Oncology and Infectious Diseases Society of America Clinical Practice Guideline Update. J Clin Oncol. 2018 May 10;36(14):1443-1453.

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Published

2023-07-23

Issue

Section

Research and clinical practice