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Acute norovirus‐induced agranulocytosis in a pediatric kidney transplant recipient
Author(s) -
Chehade H.,
Girardin E.,
Delich V.,
Pascual M.A.,
Venetz J.P.,
Cachat F.
Publication year - 2012
Publication title -
transplant infectious disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.69
H-Index - 67
eISSN - 1399-3062
pISSN - 1398-2273
DOI - 10.1111/j.1399-3062.2012.00754.x
Subject(s) - medicine , norovirus , neutropenia , intensive care medicine , immunology , presentation (obstetrics) , population , kidney transplant , pediatrics , kidney transplantation , kidney , surgery , virus , chemotherapy , environmental health
Norovirus (NoV) infection is usually limited to the gastrointestinal ( GI ) tract. However, in immunocompromised patients, this infection might lead to severe life‐threatening complications. We herein describe a pediatric kidney transplant patient who presented with an acute NoV infection complicated by febrile agranulocytosis that resolved with improvement of her GI illness. This unusual presentation has not been described before, to our knowledge. The aim of this article is to highlight the sometimes dramatic clinical presentation of NoV infection in immunosuppressed patients, and the importance of including this infection in the differential diagnosis of neutropenia in that specific population.