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Review
. 2016 Dec;101(6):296-303.
doi: 10.1136/archdischild-2015-308850. Epub 2016 Jul 7.

Febrile neutropenia and refeeding syndrome

H K Jahn  1 , S Barraclough  2 , S Currell  2 , M P Tighe  2
Affiliations
Review

Febrile neutropenia and refeeding syndrome

H K Jahn et al. Arch Dis Child Educ Pract Ed. 2016 Dec.

Abstract

We describe the management of a 4-year-old child with acute lymphoblastic leukaemia (ALL) who presented with febrile neutropenia, Cryptosporidium and subsequently developed refeeding syndrome. Febrile neutropenia is common and can be life-threatening and we highlight the identification of well low-risk neutropenic children with resolved febrile illnesses suitable for early discharge. We also discuss the potential management strategies for Cryptosporidium Refeeding syndrome is not common, but should be considered as a cause of acute inpatient deterioration and is a significant risk, with potential morbidity, in children who have undergone a period of catabolism. This article reviews the current literature and provides useful guidance on these issues.

Keywords: Gastroenterology; General Paediatrics; Infectious Diseases; Nutrition; Oncology.

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