Febrile neutropenia with thrombocytopenia after infliximab induction in a patient with ulcerative colitis

Gustavo Gomez, Shifa Umar, Mohammad Bilal, Cristina Strahotin, Kofi Clarke

Research output: Contribution to journalArticle

Abstract

A 34-year-old female with left-sided ulcerative colitis (UC) developed severe febrile neutropenia/thrombocytopenia soon after infliximab induction therapy. There was no other plausible cause of the cell line abnormalities other than an accurate temporal association with infliximab administration. Supportive care, broad-spectrum antibiotic, and single dose of filgrastim was given on day 5 of admission due to persistently low absolute neutrophil count and fevers. The cell lines recovered, fever resolved and the patient made a complete clinical recovery. Clinicians should be aware of this potential life-threatening inflixmab side effect previously unreported in adults with UC.

Original languageEnglish (US)
Pages (from-to)596-599
Number of pages4
JournalCase Reports in Gastroenterology
Volume10
Issue number3
DOIs
StatePublished - Oct 6 2016

All Science Journal Classification (ASJC) codes

  • Gastroenterology

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