Abstract
Patient: A young boy with hyper-immunoglobulin M (IgM) syndrome had recurrent severe infections, failure to thrive, and chronic neutropenia for 2 years despite treatment with i.v. gammaglobulin (IVIG). Methods and Results: With the addition of granulocyte colony-stimulating factor (G-CSF: Filgrastim, Amgen, Inc., Thousand Oaks, CA), increased doses of IVIG, and prophylactic trimethoprim-sulfamethoxazole, his absolute neutrophil count increased from 0.64 x 109/L to 3.36 x 109/L, and he has been free of significant infection for the past 22 months. Conclusions: The use of G-CSF merits consideration in patients with hyper-IgM syndrome and severe neutropenia.
Original language | English (US) |
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Pages (from-to) | 160-163 |
Number of pages | 4 |
Journal | American Journal of Pediatric Hematology/Oncology |
Volume | 16 |
Issue number | 2 |
State | Published - Jan 1 1994 |
Externally published | Yes |
Keywords
- Granulocyte colony-stimulating factor
- Hyper-immunoglobulin M syndrome
- Intravenous gammaglobulin
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Hematology
- Oncology