"What Should I Do If I Have a Fever with Chronic Myeloid Leukemia?"

Management of Fever in Chronic Myeloid Leukemia Patients

When a patient with chronic myeloid leukemia (CML) experiences fever, infection is often the primary consideration. It is recommended to promptly seek medical attention for comprehensive examinations and to undergo targeted treatment under medical guidance. Additionally, patients should prioritize daily care to facilitate recovery. The following measures can be taken:

1. General Treatment

If the fever in a CML patient is mild and accompanied by no other significant discomfort, no special treatment is typically required. The patient can drink warm water and take proper warmth measures.

2. Medication

If the body temperature exceeds 38.5°C, antipyretics such as Ibuprofen Capsules or Paracetamol Tablets can be administered under medical supervision. Additionally, anti-infective drugs like Vincristine Sulfate Injection or Daunorubicin Hydrochloride Injection must be prescribed and administered as instructed. In some cases, glucocorticoid medications like Prednisone Acetate Tablets may be used in combination.

3. Physical Cooling

For fevers below 38.5°C, physical cooling methods like wiping the body with lukewarm water or applying fever-reducing patches can be employed. However, caution should be taken to avoid using excessively cold water that may irritate the skin.

4. Other Measures

If the patient exhibits a significant bleeding tendency, hemostatic drugs like Aminomethylbenzoic Acid Injection or Vitamin K1 Injection must be administered under medical guidance. For patients with splenomegaly, surgical removal of the spleen may be necessary. Moreover, CML patients should maintain a positive mindset, ensure adequate sleep, and engage in moderate exercise to enhance their overall health.