Abstract
Purpose: A case of sulfamethoxazole/trimethoprim-induced agranulocytosis is reported. Summary: A 53-year-old healthy male presented to the emergency room with a fever of 102.7°F and was found to have a white blood cell (WBC) count of 0.6 × 103 cells/μL with an absolute neutrophil count (ANC) of 0.0 x 103 cells/μL. He had recently completed a 10-day course of sulfamethoxazole/trimethoprim for left lower extremity cellulitis. During admission, a bone marrow biopsy was performed which was not concerning for malignancy and no cause for the agranulocytosis other than the sulfamethoxazole/trimethoprim was identified. The agranulocytosis resolved after 6 days of hospitalization with a WBC count of 8.9 × 103 cells/μL and an ANC of 4.1 x 103cells/μL on the day of discharge. Conclusion: A 53-year-old male developed agranulocytosis after 10 days of sulfamethoxazole/trimethoprim therapy for the treatment of a skin and soft tissue infection. His neutropenia resolved after sulfamethoxazole/trimethoprim discontinuation.
Original language | English (US) |
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Pages (from-to) | 229-233 |
Number of pages | 5 |
Journal | Journal of Pharmacy Practice |
Volume | 37 |
Issue number | 1 |
DOIs | |
State | Published - Feb 2024 |
Bibliographical note
Publisher Copyright:© The Author(s) 2022.
Keywords
- agranulocytosis
- neutropenia
- sulfamethoxazole/trimethoprim
PubMed: MeSH publication types
- Case Reports
- Journal Article