Janani DA, Shruthilaya DA, Dhaarani DJ, Julius DSX. Vincristine induced fever in a child with embryonal rhadbomyosarcoma.
J Oncol Pharm Pract 2022:10781552221074015. [PMID:
35018851 DOI:
10.1177/10781552221074015]
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Abstract
INTRODUCTION
Febrile episodes in oncology is common are mostly of infectious etiology requiring repeated investigations and escalation of antibiotics. But, drug induced fever occur more often than we think in oncological set-up.
CASE REPORT
A 5 year old male child with rhabdomyosarcoma, developed high grade fever spikes following Vincristine monotherapy. Infective etiology work up was negative and the fever responded to corticosteroids.
MANAGEMENT AND OUTCOME
He was treated with corticosteroids as premedication considering vincristine induced fever. The further courses of VCR- monotherapy were uneventful with steroids as premedication.
DISCUSSION
We present the case of vincristine induced fever in a child with embryonal rhabdomyosarcoma. Clinician's should consider drug induced fever at appropriate conditions, to avoid leading to antibiotic resistance.
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