Q:

A patient with hodgkins lymphoma who is under treatment develops high fever. His blood results show WBC <2800 and has a chest infection. Choose the most likely treatment?

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A patient with hodgkins lymphoma who is under treatment develops high fever. His blood results show WBC <2800 and has a chest infection. Choose the most likely treatment?


  1. Co-amoxiclav
  2. Piperacillin+tazobactam
  3. Erythromycin
  4. Piperacillin+Co-amoxiclav
  5. Penicillin+tazobactam

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The key is B. Piperacillin+tazobactam. [Here patients WBC is <2800, i.e. patient has leucopenia (probable neutropenia). Piperacillin/Tazobactam may be used in the management of neutropenic patients with fever suspected to be due to a bacterial infection as in patient with postchemotherapy neutropenia. Even febrile neutropenia can be seen in patients with cancer per-se!].

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