Carbimazole-induced agranulocytosis treated with granulocyte-macrophage colony stimulating factor--a case report

Ann Acad Med Singap. 1995 May;24(3):465-6.

Abstract

Drug-induced agranulocytosis is a potentially fatal complication despite advances in supportive care. A patient with carbimazole-induced agranulocytosis associated with marked depletion of granulocytic precursors in the marrow was treated with granulocyte-macrophage colony stimulating factor (GM-CSF) at a dose of 5 micrograms/kg subcutaneously daily for one week. The absolute neutrophil count rose above 1 x 10(9)/L after one week of GM-CSF therapy. The GM-CSF probably expedited the recovery of the neutrophil count. Further studies are warranted to delineate the role of GM-CSF in the treatment of drug-induced agranulocytosis.

Publication types

  • Case Reports

MeSH terms

  • Agranulocytosis / chemically induced*
  • Agranulocytosis / therapy*
  • Carbimazole / adverse effects*
  • Female
  • Granulocyte-Macrophage Colony-Stimulating Factor / administration & dosage
  • Granulocyte-Macrophage Colony-Stimulating Factor / therapeutic use*
  • Humans
  • Leukocyte Count
  • Middle Aged
  • Neutrophils

Substances

  • Granulocyte-Macrophage Colony-Stimulating Factor
  • Carbimazole