A 33yo lady with Hodgkin’s lymphoma presents with temp=40C, left sided abdominal pain and
lymphadenitis. Blood was taken for test. What will you do next?
a. Wait for blood test
b. Start broad spectrum IV antibiotics
c. Oral antibiotics
e. Monitor pyrexia
Ans. The key is B. Start broad spectrum IV antibiotics. [The patient is immunocompromized with signs of infection (temp=40◦C, left sided abdominal pain and lymphadenitis) broad spectrum IV antibiotic should be started empirically while waiting for blood reports].