Carolinas Core Concepts Core Concepts in EM; a repository for Carolinas lecture summaries.


Neutropenic Fever & Sickle Cell

  • Defined with a temp of >38C and an ANC of <500.  Shotgun cultures and cover with broad-spectrum antibiotics + vancomycin.
  • Peak ages for acute chest syndrome are between 2-4 years of age.  Often not present on initial ED evaluation; develops days later in hospital.  Have a high suspicion for any fever in sicklers.