Febrile neutropenia Quiz: Ace Your Exams
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A 23-year-old woman presents to the primary care physician for a follow-up regarding a recent diagnosis of febrile neutropenia in the setting of treatment for acute lymphoblastic leukemia. The patient presented to the emergency department three days ago for evaluation of fever and malaise and was found to be neutropenic. Workup at that time did not demonstrate a source of infection, and blood cultures have demonstrated no growth to date. She was discharged on oral levofloxacin and amoxicillin-clavulanic acid. The patient feels well and has no current symptoms. Temperature is 37.0 °C (98.6 °F), pulse is 72/min, respiratory rate is 14/min, blood pressure is 124/65 mmHg, and oxygen saturation is 100% on room air. Physical examination is unremarkable. The patient has an absolute neutrophil count obtained today of 2645 cells/µL. Which of the following is the best next step in management?
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