MS-2803
A 32-year-old man with metastatic seminoma is admitted to the hospital due to fever. He reports no abdominal pain, shortness of breath, or rashes. Upon examination, his temperature is 39.4ºC, blood pressure is 90/60 mmHg, pulse is 110/min, and respiratory rate is 18/min. The patient appears pale, but the rest of the physical examination is unremarkable.
Lab results show:
– Hemoglobin: 105 g/L (normal range for males: 135-180; females: 115-160)
– Platelets: 100 * 109/L (normal range: 150-400)
– White blood cells: 0.2* 109/L (normal range: 4.0-11.0)
– Neutrophils: 0.05* 109/L (normal range: 2.0-7.0)
– Lymphocytes: 0.15* 109/L (normal range: 1.0-3.5)
In addition to administering appropriate antibiotics, what is the most effective treatment to increase the patient’s leukocyte count and prevent future episodes?