What is the recommended fungal workup in an immunocompromised patient after 5 days of persistent fever?
Do you involve additional specialists, such as ENT, to further evaluate? Is there a particular algorithm followed by your institution, or it is just determined by patient?
Answer from: at Academic Institution
For any patient with fevers, I focus significantly on any symptoms that a patient might have, like headache, diarrhea, and sinus symptoms, and work up a differential diagnosis based on possible pathogens in this area. If I am not finding anything, I would obtain a CT chest/abd/pelvis, as both invasi...
Comments
at Providence Santa Rosa Pulmonary Disease Have not found the fungal markers to be all that h...
at Hartford Health Care I only order B-D-glucan & galactomannan to sho...
It is important to obtain a CT chest despite a normal chest x-ray, including in patients with fever and with or without respiratory symptoms. It is not uncommon to see abnormal CT chest findings, with no resp symptoms/signs. Fever may be the only abnormality. In many cases, radiology is more reliabl...
Have not found the fungal markers to be all that h...
I only order B-D-glucan & galactomannan to sho...