ISSN: 2993-8260
Authors: Tootoonchi P*
An acquired neutropenia is a common condition which occurs during some viral infections and usually is a mild, self-limited disorder. This ailment frequently happens in childhood, especially during infancy, and the few reported cases in infants were not associated with any serious complications. In this case report, we present a less than 6 month previously healthy male involved with fever and neutropenia during a viral infection. 3 days after admission, he developed a lower respiratory tract infection associated with fever, tachypnea, and respiratory distress as well as a nodule appeared at a mosquito bite bump in his left forearm and oral candidiasis. On the next day, the case showed a remarkable rising in the absolute neutrophil count following application of intravenous Granulocyte Colony Forming Factor (G-CSF). Fortunately, during the third day of its emergence, the extension of the lesion has stopped and the case got afebrile. In spite of sloughing of the necrotic layer of the skin, and forming a deep sited defect at the underneath tissue, the residual cavity has healed completely without any requirement to skin engraftment, stem cell implant or tissue debridement in about 2 months of its emergence. At the healing area, a scar has formed which was not deformed; otherwise, the morphology, size, and function of his left forearm as well as its growth and development are completely normal as the same as his right forearm.
Keywords: Child; Acquired Neutropenia; Fever; Complication