A patient with acute leukaemia is admitted with febrile neutropenia. On day four of being treated with broad-spectrum antibiotics, his fever increases. X-ray chest shows bilateral fluffy infiltrates. Which of the following should be the most appropriate next step in the management
Cotrimoxazole is an antibiotic. As the patient is immunocompromised, most probable oppounistic infection is a fungal infection. And X-Ray shows fluffy infiltrates is suggestive of fungal infection. So antifungals are to be added. Ref: Textbook of Microbiology, Ananthanarayan and Paniker; 9th edition
Add antiviral therapy
Add antifungal therapy
Add cotrimoxazole
Continue chemotheraphy
mycology