Acquired Neutropenia and Fever, its Treatment and Complications in an Infant, A Case Report

Abstract

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.