PT - JOURNAL ARTICLE AU - H K Jahn AU - S Barraclough AU - S Currell AU - M P Tighe TI - Febrile neutropenia and refeeding syndrome AID - 10.1136/archdischild-2015-308850 DP - 2016 Dec 01 TA - Archives of disease in childhood - Education & practice edition PG - 296--303 VI - 101 IP - 6 4099 - http://ep.bmj.com/content/101/6/296.short 4100 - http://ep.bmj.com/content/101/6/296.full SO - Arch Dis Child Educ Pract Ed2016 Dec 01; 101 AB - 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.