title: Febrile neutropenia and refeeding syndrome.
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.
authors.affiliation: Emergency Department, Royal Belfast Hospital for Sick Children, Belfast, UK.
authors.forename: H K
authors.initials: HK
authors.lastname: Jahn
authors.affiliation: Paediatric Department, Poole Hospital NHS Trust, Poole, UK.
authors.forename: S
authors.initials: S
authors.lastname: Barraclough
authors.affiliation: Paediatric Department, Poole Hospital NHS Trust, Poole, UK.
authors.forename: S
authors.initials: S
authors.lastname: Currell
authors.affiliation: Paediatric Department, Poole Hospital NHS Trust, Poole, UK.
authors.forename: M P
authors.initials: MP
authors.lastname: Tighe
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002675:Child, Preschool; D003457:Cryptosporidiosis / Q000188:drug therapy* / Q000209:etiology*; D064147:Febrile Neutropenia / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy*; D055677:Refeeding Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D012307:Risk Factors
chemical_list: D000900:Anti-Bacterial Agents
keywords: Gastroenterology; General Paediatrics; Infectious Diseases; Nutrition; Oncology