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Sore throat or severe threat? The teleconsultation that uncovered neutropenic sepsis.

Chandrakanthan, C; Ritsema, TS (2025) Sore throat or severe threat? The teleconsultation that uncovered neutropenic sepsis. JAAPA, 38 (3). e2-e5. ISSN 1547-1896 https://doi.org/10.1097/01.JAA.0000000000000175
SGUL Authors: Chandrakanthan, Chanceeth

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Abstract

This case report describes a telemedicine visit by a patient with fever, sore throat, and odynophagia. The patient had recently started taking propylthiouracil (PTU) for Graves disease. She was referred to the ED, where a complete blood cell count revealed agranulocytosis with a neutrophil count of 200 cells/mm3. PTU was promptly discontinued, and she received treatment with IV piperacillin-tazobactam, resulting in an improvement in her condition. With the rise of telemedicine, clinicians must prioritize thorough history-taking to detect uncommon complications of medications and to ensure patient safety.

Item Type: Article
Additional Information: This is a non-final version of an article published in final form in JAAPA 38(3):p e2-e5, March 2025.
Keywords: Humans, Female, Pharyngitis, Neutropenia, Sepsis, Anti-Bacterial Agents, Piperacillin, Tazobactam Drug Combination, Graves Disease, Propylthiouracil, Antithyroid Agents, Piperacillin, Remote Consultation, Penicillanic Acid, Adult, Middle Aged, Humans, Sepsis, Pharyngitis, Neutropenia, Penicillanic Acid, Piperacillin, Propylthiouracil, Antithyroid Agents, Anti-Bacterial Agents, Remote Consultation, Adult, Middle Aged, Female, Graves Disease, Piperacillin, Tazobactam Drug Combination, Adult, Anti-Bacterial Agents, Antithyroid Agents, Female, Graves Disease, Humans, Middle Aged, Neutropenia, Penicillanic Acid, Pharyngitis, Piperacillin, Piperacillin, Tazobactam Drug Combination, Propylthiouracil, Remote Consultation, Sepsis, 1110 Nursing
SGUL Research Institute / Research Centre: Academic Structure > Institute of Medical, Biomedical and Allied Health Education (IMBE)
Academic Structure > Institute of Medical, Biomedical and Allied Health Education (IMBE) > Centre for Clinical Education (INMECE )
Journal or Publication Title: JAAPA
ISSN: 1547-1896
Language: eng
Publisher License: Publisher's own licence
PubMed ID: 39998365
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/117248
Publisher's version: https://doi.org/10.1097/01.JAA.0000000000000175

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