Perianal or periodontal

Both are common sites of infection in neutropenic patients. Perianal lesions may become secondarily infected if skin abraded. Add metronidazole 500mg IV tds to standard therapy. Painful SC abscesses may form and may require surgical incision. Gum disease and localized tooth infections/abscesses are frequently seen. Add metronidazole to therapy as above, arrange OPG and dental review as surgical intervention may be required in non-responders. If possible, best delayed until neutrophil recovery in most cases—then do electively before next course of chemotherapy.

0 0

Post a comment