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Neutropenia as a Complication of Tumefactive Demyelinating Disease: A Case Report
Author(s) -
Webb Kali,
Osorio Marisa
Publication year - 2018
Publication title -
pmandr
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.617
H-Index - 66
eISSN - 1934-1563
pISSN - 1934-1482
DOI - 10.1016/j.pmrj.2017.12.007
Subject(s) - medicine , complication , neutropenia , rash , magnetic resonance imaging , demyelinating disease , surgery , disease , radiology , pediatrics , pathology , chemotherapy
Tumefactive demyelination is an aggressive, localized, generally solitary area of demyelination that often mimics a neoplasm. We present a case of a 13‐year‐old female patient who presented with sudden‐onset progressive hemiplegia and hemianopsia. Magnetic resonance imaging of the brain showed tumefactive demyelination with partial rim of enhancement. During inpatient rehabilitation, she developed myalgias, rash, and abdominal and mouth pain with evidence for severe neutropenia. The neutropenia was determined to be a secondary complication of the tumefactive disease process. This scenario may be concerning in an inpatient rehabilitation setting, as patients share common areas, increasing the risk of acquired infection while neutropenic. Level of Evidence V