Febrile neutropenia and refeeding syndrome
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-r...
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| Published in | Archives of disease in childhood. Education and practice edition Vol. 101; no. 6; pp. 296 - 303 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
BMJ Publishing Group LTD
01.12.2016
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| 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. |
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| AbstractList | 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. |
| Author | Jahn, H K Tighe, M P Barraclough, S Currell, S |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/27389547$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1016/S0272-6386(04)00960-6 10.1097/00003246-199009000-00021 10.1002/pbc.21335 10.1086/321008 10.1002/eat.20783 10.1177/0115426503018004327 10.1002/pbc.10450 10.1136/bmj.39238.399444.55 10.1200/JCO.2004.01.078 10.1002/cncr.23563 10.1136/bmj.a301 10.1054/clnu.2002.0586 10.1016/j.jadohealth.2009.11.207 10.1136/adc.2009.177394 10.1097/MPG.0b013e3181d336d2 10.2337/diacare.17.10.1209 10.1016/S1473-3099(01)00121-9 10.1016/j.ejca.2009.06.003 10.1093/ajcn/49.5.884 10.1177/156482659101300408 10.1200/JCO.2001.19.13.3163 |
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| Copyright | Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/. Copyright: 2016 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing |
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key-10.1136/archdischild-2015-308850-19 article-title: Body mass index cut offs to define thinness in children and adolescents: international survey publication-title: BMJ doi: 10.1136/bmj.39238.399444.55 contributor: fullname: Cole – volume: 19 start-page: 3163 year: 2001 ident: key-10.1136/archdischild-2015-308850-27 article-title: Late mortality experience in five-year survivors of childhood and adolescent cancer: the childhood cancer survivor study publication-title: J Clin Oncol doi: 10.1200/JCO.2001.19.13.3163 contributor: fullname: Mertens – volume: 22 start-page: 3784 year: 2004 ident: key-10.1136/archdischild-2015-308850-3 article-title: Early hospital discharge followed by outpatient management versus continued hospitalization of children with cancer, fever, and neutropenia at low risk for invasive bacterial infection publication-title: J Clin Oncol doi: 10.1200/JCO.2004.01.078 contributor: fullname: Santolaya – volume: 50 start-page: 1018 year: 2008 ident: key-10.1136/archdischild-2015-308850-26 article-title: The British childhood cancer survivor study: objectives, methods, population structure, response rates and initial descriptive information publication-title: Pediatr Blood Cancer doi: 10.1002/pbc.21335 contributor: fullname: Hawkins – volume: 17 start-page: 1209 year: 1994 ident: key-10.1136/archdischild-2015-308850-9 article-title: Parallels between treated uncontrolled diabetes and the refeeding syndrome with emphasis on fluid and electrolyte abnormalities publication-title: Diabetes Care doi: 10.2337/diacare.17.10.1209 contributor: fullname: Matz – volume: 44 start-page: 575 year: 2004 ident: key-10.1136/archdischild-2015-308850-8 article-title: The edematogenic properties of insulin publication-title: Am J Kidney Dis doi: 10.1016/S0272-6386(04)00960-6 contributor: fullname: Kalambokis – volume: 336 start-page: 1495 year: 2008 ident: key-10.1136/archdischild-2015-308850-7 article-title: Refeeding syndrome: what it is, and how to 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start-page: 977 year: 2011 ident: key-10.1136/archdischild-2015-308850-15 article-title: Managing anorexia nervosa publication-title: Arch Dis Child doi: 10.1136/adc.2009.177394 contributor: fullname: Nicholls – volume: 51 start-page: 110 year: 2010 ident: key-10.1136/archdischild-2015-308850-23 article-title: Practical approach to paediatric enteral nutrition: a comment by the ESPGHAN committee on nutrition publication-title: J Pediatr Gastroenterol Nutr doi: 10.1097/MPG.0b013e3181d336d2 contributor: fullname: Braegger – volume: 184 start-page: 103 year: 2001 ident: key-10.1136/archdischild-2015-308850-6 article-title: Treatment of diarrhea caused by Cryptosporidium parvum: a prospective randomized, double-blind, placebo-controlled study of nitazoxanide publication-title: J Infect Dis doi: 10.1086/321008 contributor: fullname: Rossignol – volume: 46 start-page: 577 year: 2010 ident: key-10.1136/archdischild-2015-308850-24 article-title: Does aggressive refeeding in hospitalized adolescents with anorexia nervosa result in increased hypophosphatemia? publication-title: J Adolescent Health doi: 10.1016/j.jadohealth.2009.11.207 contributor: fullname: Whitelaw – start-page: 160 volume-title: Present knowledge in nutrition year: 1996 ident: key-10.1136/archdischild-2015-308850-11 article-title: Thiamin contributor: fullname: Rindi – volume: 18 start-page: 1030 year: 1990 ident: key-10.1136/archdischild-2015-308850-12 article-title: Guidelines for refeeding the marasmic patient publication-title: Crit Care Med doi: 10.1097/00003246-199009000-00021 contributor: fullname: Apovian – volume: 17 start-page: 1271 year: 1971 ident: key-10.1136/archdischild-2015-308850-20 article-title: Nutritional anthropometry in the identification of malnutrition in childhood publication-title: J Trop Pediatr Environ Child Health contributor: fullname: Seoane |
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| SubjectTerms | Anti-Bacterial Agents - therapeutic use Child, Preschool Cryptosporidiosis - drug therapy Cryptosporidiosis - etiology Cryptosporidium Febrile Neutropenia - etiology Febrile Neutropenia - therapy Humans Leukemia Precursor Cell Lymphoblastic Leukemia-Lymphoma - complications Precursor Cell Lymphoblastic Leukemia-Lymphoma - diagnosis Precursor Cell Lymphoblastic Leukemia-Lymphoma - microbiology Precursor Cell Lymphoblastic Leukemia-Lymphoma - therapy Refeeding Syndrome - diagnosis Refeeding Syndrome - etiology Refeeding Syndrome - therapy Risk Factors |
| Title | Febrile neutropenia and refeeding syndrome |
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