症例 challenge · Hematology-oncology / Infectious disease / Emergency · teaching

Febrile Neutropenia — Management Pathway · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on IDSA / MASCC

Case #1Hematology-oncology / Infectious disease / Emergency

📋 Case data

Confirm + MASCC stratificationHigh-risk (MASCC <21 / unstable)

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Confirm + MASCC stratification

Confirm febrile neutropenia and stratify by MASCC risk?

💡 Fever = a single oral temperature ≥38.3°C or ≥38.0°C sustained ≥1 h; neutropenia = ANC <500/µL (or <1000 expected to fall <500 within 48 h). An oncological emergency. Immediately examine, blood cultures ×2 (including central line), site-specific cultures and imaging — but do not delay antibiotics for these. MASCC ≥21 low-risk, <21 high-risk.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.