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Fifteen-minute consultation: A guide to managing a child with a new finding of neutropenia
  1. Rebecca M James1,
  2. Bob Phillips2
  1. 1 Paediatric Haematology and Oncology, Leeds Teaching Hospitals NHS Trust, York, UK
  2. 2 Centre for Reviews and Dissemination, University of York, York, UK
  1. Correspondence to Dr Bob Phillips, Centre for Reviews and Dissemination, University of York, York YO10 5DD, UK; bob.phillips{at}


Objective To describe a structured approach for managing a child with a new finding of neutropenia.

Method Literature review and consensus practice of clinicians in our regional centre.

Conclusion Neutropenia may arise in a variety of situations from a well child with a physiological neutropenia to a sick infant with life-threatening infection. In most cases a thoughtful history and directed examination will help to identify the severity in order to determine an appropriate care pathway.

Scenario A 6-year-old boy presented earlier in the day to the acute assessment unit with lethargy and a sore throat. At handover time his blood results are phoned through and show that he is neutropenic.

  • general paediatrics
  • haematology
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  • Contributors Designed and drafted by RMJ, reviewed, edited and supplemental writing by BP.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.

  • Patient consent for publication Not required.

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