Cyclic neutropenia
Cyclic neutropenia
Cyclic neutropenia
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Review Questions<br />
A previously well 3 y/o boy presents with 4 days of temp to 104<br />
(40). He is no acute distress and does not appear ill. The only<br />
abnormal physical finding is mild rhinitis. A complete blood<br />
count reveals WBC 1.5; Hgb 12.8, Plt 349. His differential count<br />
is 2% neutrophils, 80% lymphocytes, 10% monocytes, and 6%<br />
eosinophils. A blood culture is obtained. After a single dose of<br />
acetaminophen, the child becomes afebrile. Of the following, the<br />
most appropriate next step is to:<br />
A. Give a dose of broad spectrum antibiotics and admit for continuing<br />
IV antibiotics<br />
B. Give a dose of CTX and see the child the following morning<br />
C. Observe the child in the ER overnight<br />
D. See the child the following morning but tell the parents to call<br />
sooner if he becomes more ill<br />
E. Start amoxicillin and clavulanic acid orally and see the child the<br />
following morning
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