RT Journal Article
SR Electronic
T1 Febrile neutropenia and refeeding syndrome
JF Archives of disease in childhood - Education & practice edition
JO Arch Dis Child Educ Pract Ed
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP 296
OP 303
DO 10.1136/archdischild-2015-308850
VO 101
IS 6
A1 H K Jahn
A1 S Barraclough
A1 S Currell
A1 M P Tighe
YR 2016
UL http://ep.bmj.com/content/101/6/296.abstract
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.