MRCP2-2403

A 20-year-old male with T-cell acute lymphoblastic leukemia is undergoing cytotoxic chemotherapy with the hyper-CVAD regimen. On the 14th day of treatment, his vital signs show a blood pressure of 100/60 mmHg, a heart rate of 120 bpm, and a fever of 39°C accompanied by chills and rigors.

What would be your initial course of action in this scenario?