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Febrile neutropenia or neutropenic fever is a defined as a single oral temperature value of ≥ 38.3 C (101 F) or a temperature ≥ 38 C (100.4 F) for ≥ 1 hour, with an absolute neutrophil count (ANC) < 1500 cell/microliter. [1] In case of severe neutropenia, the ANC is < 500 cell/microliter. [1]
Neutropenia is an abnormally low concentration of neutrophils (a type of white blood cell) in the blood. [4] Neutrophils make up the majority of circulating white blood cells and serve as the primary defense against infections by destroying bacteria, bacterial fragments and immunoglobulin-bound viruses in the blood. [5]
Fever of unknown origin (FUO) refers to a condition in which the patient has an elevated temperature for which no cause can be found despite investigations by one or more qualified physicians. [ 1 ] [ 2 ] [ 3 ] If the cause is found, it is usually a diagnosis of exclusion , eliminating all possibilities until only the correct explanation remains.
The reference range for ANC in adults varies by study, but 1500 to 8000 cells per microliter is typical. An ANC less than 1500 cells/μL is defined as neutropenia and increases risk of infection. Neutropenia is the condition of a low ANC, and the most common condition where an ANC would be measured is in the setting of chemotherapy for cancer.
Fever (defined as a temperature >100.3 °F, >38 °C) Enlargement of the spleen; Decreased blood cell counts affecting at least two of three lineages in the peripheral blood: Haemoglobin <9 g/100 ml (in infants <4 weeks: haemoglobin <10 g/100 ml) Platelets <100×10 9 /L (thrombocytopenia) Neutrophils <1×10 9 /L (neutropenia)
More than 72% of U.S. adults have "unhealthy weight," which is defined as a body mass index of at least 25, the report stated. Nearly 42% of those adults meet the criteria for obesity (a body mass ...
ANC is the gold standard for determining severity of neutropenia, and thus neutropenic fever. Any ANC < 1500 cells / mm 3 is considered neutropenia, but <500 cells / mm 3 is considered severe. [62] There is also new research tying ANC to myocardial infarction as an aid in early diagnosis.
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