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Clinical pediatrics · Sep 2005
Outcomes of febrile children presumed to be immunocompetent who present with leukopenia or neutropenia to an ambulatory setting.
- J R Serwint, M M Dias, H Chang, M Sharkey, and A R Walker.
- Department of Pediatrics, Division of General Pediatrics, Johns Hopkins Hospital, Baltimore, MD 21287, USA.
- Clin Pediatr (Phila). 2005 Sep 1; 44 (7): 593-600.
UnlabelledTo determine significant medical outcomes in febrile children presenting to an ambulatory setting with neutropenia and/or leukopenia.MethodsRetrospective medical record review conducted on febrile patients who had a blood culture drawn, with white blood cell counts less than 5,000/mm3 and/or an absolute neutrophil count less than 1000/mm3. Ninety-one patients were identified; 5 with positive blood culture results, 13 with significant non-oncologic disease, and 3 patients with leukemia who had involvement of 2 or more cell lines.ConclusionsIn the majority of patients, clinical judgment, physical findings, and review of all cell lines of the complete blood cell count identified those with significant disease.
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