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A Case of Neonatal Neutropenia Due to Anti-Fc Gamma Receptor IIIb Isoantibodies Treated with Recombinant Human Granulocyte Colony Stimulating Factor
Joint Authors
Tomicic, Maja
Hundric-Haspl, Zeljka
Starcevic, Mirta
Bingulac-Popovic, Jasna
Zach, Vanja
Source
Issue
Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2009-08-26
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Alloimmunization to granulocyte-specific antigens can occur during pregnancy.
Maternal antibodies of IgG class can cross the placenta to result in alloimmune neonatal neutropenia.
Antibodies to human neutrophil antigens anti-HNA-1a, HNA-1b, and HNA-2a have been most commonly reported to cause alloimmune neonatal neutropenia.
Isoantibodies to Fc gamma RIIIb (CD16) if mother is a HNA-null phenotype are rarely involved in neonatal neutropenia.
We report on a case of severe neutropenia (440 neutrophils/μL) due to anti-Fc gamma RIIIb (CD16) isoimmunization.
On day 14 severe omphalitis developed, which was treated for 7 days by an antibiotic (ceftriaxone in a dose of 80 mg/kg/d) according to umbilical swab finding.
Omphalitis persisted for 10 days in spite of antibiotic therapy and only resolved upon the introduction of rhG-CSF therapy.
Therapy with rh-GCSF proved efficient and led to neutrophil count increase to 1970/μL and cure of omphalitis.
However, therapeutic effect on granulocyte count was of transient nature, as granulocyte count fell to 760 n/μL on day 4 of therapy discontinuation.
Neutropenia persisted for 2 months.
The newborn was discharged from the hospital on day 26 with normal clinical status with clinical and laboratory control examinations at 2-week intervals.
No additional infections were observed during the course of neutropenia.
American Psychological Association (APA)
Tomicic, Maja& Starcevic, Mirta& Zach, Vanja& Bingulac-Popovic, Jasna& Hundric-Haspl, Zeljka. 2009. A Case of Neonatal Neutropenia Due to Anti-Fc Gamma Receptor IIIb Isoantibodies Treated with Recombinant Human Granulocyte Colony Stimulating Factor. Case Reports in Medicine،Vol. 2009, no. 2009, pp.1-4.
https://search.emarefa.net/detail/BIM-492996
Modern Language Association (MLA)
Tomicic, Maja…[et al.]. A Case of Neonatal Neutropenia Due to Anti-Fc Gamma Receptor IIIb Isoantibodies Treated with Recombinant Human Granulocyte Colony Stimulating Factor. Case Reports in Medicine No. 2009 (2009), pp.1-4.
https://search.emarefa.net/detail/BIM-492996
American Medical Association (AMA)
Tomicic, Maja& Starcevic, Mirta& Zach, Vanja& Bingulac-Popovic, Jasna& Hundric-Haspl, Zeljka. A Case of Neonatal Neutropenia Due to Anti-Fc Gamma Receptor IIIb Isoantibodies Treated with Recombinant Human Granulocyte Colony Stimulating Factor. Case Reports in Medicine. 2009. Vol. 2009, no. 2009, pp.1-4.
https://search.emarefa.net/detail/BIM-492996
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-492996