by Michael Jubinville, MPH
A neutropenic fever is a temperature over 100.4°F (38°C) in a person with neutropenia. Neutropenia is when you have a low number of neutrophils in the blood. This is a type of white blood cell that helps the body fight infections.
The fever is caused by an infection.
Neutropenia can have a number of causes. It is often caused by cancer treatments. Other medicine, infections, or cancer itself may also be the cause.
Having neutropenia raises the chance of infection and fever. It is also more common in older adults.
Factors that raise you risk of a severe infection with neutropenia include:
The main sign is a fever. In some cases, it may be the only sign. Chills and sweating may also be present.
You will be asked about your symptoms and recent health. A physical exam will be done.
Your blood may be tested.
You may have more tests to look for the site of the infection.
An infection with neuropenia can be very dangerous. Early treatment is important. Antibiotics will be started right away.
Tests to find the cause of your infection can take a few days. Your medicine may be changed based on the results.
Some people with this health problem are at high risk for infection. Antibiotics may be given to help stop an infection before it happens.
Other steps to decrease the risk of infections include:
American Cancer Society
National Heart, Lung, and Blood Institute
Canadian Cancer Society
Public Health Agency of Canada
Book L. Neutropenic fever following chemotherapy in a patient with lymphoma. Oncol Nurs Forum. 2008;35(6):885-887.
Febrile neutropenia. EBSCO DynaMed Plus website. Available at: https://www.dyname.... Updated April 24, 2018. Accessed July 20, 2018.
Freifeld AG, Bow EJ, Sepkowitz KA, et al. Clinical practice guideline for the use of antimicrobial agents in neutropenic patients with cancer: 2010 Update by the Infectious Diseases Society of America. Clin Infect Dis. 2011;52(4):427-431.
Infections in people with cancer. American Cancer Society website. Available at:
...(Click grey area to select URL)
Accessed July 20, 2018.
Last reviewed June 2018 by James Cornell, MD
Last Updated: 7/20/2018
EBSCO Information Services is fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
To send comments or feedback to our Editorial Team regarding the content please email us at firstname.lastname@example.org. Our Health Library Support team will respond to your email request within 2 business days.