Neutropenic Fever and HIV

Today’s case was a 41 y.o. F with AIDS not on HAART who presented with a suspected groin abscess and also was found to have a low ANC (580). In the past she has been found to be neutropenic. Do you treat a neutropenic fever differently in HIV? We discussed neutropenic fever treatment in general, and also incidence of neutropenia in HIV (seen in 10-50%). No treatment guidelines exist for neutropenia in HIV/AIDS.

Here is a link to the 2011 IDSA guidelines for febrile neutropenia in cancer patients.