A patient recently began treatment with methimazole and presents with fever and a sore throat, what would be your next step?
If a patient recently began treatment with methimazole/propylthiouracil and presents with fever and a sore throat, the next best step would be to obtain a CBC because that is a common presentation of agranulocytosis.
Common causes of agranulocytosis:
1.hyperthyroidism medications (methimazole, propylthiouracil)
2. clozapine (antipsychotic medication)
3. carbamazepine (anti-epileptic drug)
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