A 2-month-old boy with hemolytic anemia and reticulocytopenia following intravenous immunoglobulin therapy for Kawasaki disease: a case report and literature review / 소아과
Korean Journal of Pediatrics
; : S60-S63, 2016.
Article
in En
| WPRIM
| ID: wpr-201860
Responsible library:
WPRO
ABSTRACT
Herein, we report a rare case of hemolytic anemia with reticulocytopenia following intravenous immunoglobulin therapy in a young infant treated for Kawasaki disease. A 2-month-old boy presented with fever lasting 3 days, conjunctival injection, strawberry tongue, erythematous edema of the hands, and macular rash, symptoms and signs suggestive of incomplete Kawasaki disease. His fever resolved 8 days after treatment with aspirin and high dose infusion of intravenous immunoglobulin. The hemoglobin and hematocrit decreased from 9.7 g/dL and 27.1% to 7.4 g/dL and 21.3%, respectively. The patient had normocytic hypochromic anemia with anisocytosis, poikilocytosis, immature neutrophils, and nucleated red blood cells. The direct antiglobulin test result was positive, and the reticulocyte count was 1.39%. The patient had an uneventful recovery. However, reticulocytopenia persisted 1 month after discharge.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Reticulocytes
/
Tongue
/
Immunoglobulins
/
Coombs Test
/
Aspirin
/
Immunization, Passive
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Reticulocyte Count
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Fragaria
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Edema
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Erythrocytes
Limits:
Humans
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Infant
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Male
Language:
En
Journal:
Korean Journal of Pediatrics
Year:
2016
Type:
Article