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Case report
Febrile neutropenia due to COVID-19 in an immunocompetent patient
  1. Yumkham Monica Devi1,
  2. Amit Sehrawat2,
  3. Prasan Kumar Panda3 and
  4. Uttam Kumar Nath2
  1. 1Department of General Medicine, AIIMS Rishikesh, Rishikesh, Uttarakhand, India
  2. 2Department of Medical Oncology Haematology, All India Institute of Medical Sciences—Rishikesh, Rishikesh, Uttarakhand, India
  3. 3General Medicine, All India Institute of Medical Sciences—Rishikesh, Rishikesh, Uttarakhand, India
  1. Correspondence to Dr Prasan Kumar Panda; motherprasanna{at}rediffmail.com

Abstract

While lymphopenia has been a common finding in COVID-19 infection, particularly in severe cases, febrile neutropenia has been very rarely reported in immunocompetent patients with COVID-19. Herein, we report the case of a 76-year-old hypertensive and diabetic man who was hospitalised with severe COVID-19 infection and developed delayed-onset severe neutropenia with neutropenic fever, which responded to treatment with antibiotics and granulocyte colony-stimulating factor. This case highlights the importance of identifying a rare complication (febrile neutropenia on the fifth week) of COVID-19 infection in hospitalised patients by intensive monitoring and aggressive management for favourable outcomes.

  • COVID-19
  • haematology (drugs and medicines)
  • infectious diseases
  • adult intensive care

This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.

https://bmj.com/coronavirus/usage

https://doi.org/10.1136/bcr-2021-242683

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    Footnotes

    • Contributors YMK and AS collected the data and drafted and approved the manuscript; PKP and UKN gave design, critically reviewed the draft and finally approved the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer-reviewed.