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February 10, 2012

Patient Discussions: Neutropenia - Describe Your Experience

Question:Please describe your experience with neutropenia

Comment from: Alehx, 0-2 Female (Caregiver) Published: January 16

My daughter was admitted in the hospital for dehydration and high fevers. Her white blood cells (WBC) and neutrophils (part of WBC) were extremely low than the normal range. These cells fight for infection. She was placed on reverse isolation and was put on "neutropenic precautions", meaning to protect her from getting any bacteria or germs because of her poor immune response which basically means she is susceptible for infection. Hematology (doctor for blood infections or cancer patients), was consulted. Her attending physician is an infectious disease doctor. They did all kinds of test such as blood count, virus tests etc. I am a nurse and if they do all these tests, I think maybe she has a more serious condition that I need to worry about. To make the long story short, results came back and she is positive for Epstein Barr Virus (EBV) which is commonly called infectious mononucleosis or the "kissing disease". And this virus usually causes the neutrophils to go down. Now she's fine and seems like she just had a typical common coughs and colds.

Comment from: chiefdwd, 13-18 Female (Caregiver) Published: January 16

My daughter is 13 years old and has an extremely low white blood cell count. She has had bone marrow tests, CT scans, and biopsy of lymph nodes in her neck. She has had more blood test than I can mention. In a nut shell she has been through more than a frog in biology class. There are still no diagnoses from the doctors. She immediately fell into this condition after having her tonsils and adenoids removed. She has never really been seriously ill when growing up, just occasional ear ache and such. She even had all her wisdom teeth removed and recovered with no problems, but when her tonsil and adenoids were removed, she complained of severe ear pain, extreme headache and these symptoms were accompanied by a severe fever of 104 plus.

Related Reading: wisdom teeth | headache | fever

Comment from: sltwitness, 45-54 Female (Patient) Published: November 11

I am now 51 years old, and the first "diagnosis" of neutropenia that I remember was in my late 20s. My allergist tried to determine the cause to no avail. However, I do have a history of Epstein Barr Virus, and also have acetylcholine allergy (a muscle enzyme, also a reaction to changes in hot/cold temperatures), that may be causal. My neutrophil counts generally range from 1300 to 2500, but have been as low as 900, which prompted the lab to insist that I see a hemotologist/oncologist. All tests for various causes were negative, and I was not a candidate for a bone biopsy due to an allergy to the topical anesthetics used during the procedure. He said that if I ever succumb to continuous infections, we would need to do the biopsy (with IV anesthetics and sedation). I seldom get sick, and I do get the flu shot annually as a precaution.

Related Reading: neutropenia | allergy | flu

Comment from: 35-44 Female (Patient) Published: October 23

I am 44 years old and was diagnosed with neutropenia in my 20's. I had the bone marrow tests twice and the only thing they believe contributed to this condition is that when I was 10 years old I had my appendix out in another country and was given a very strong antibiotic (chloromycetin) that was outlawed in the US and they think the drug damaged my bone marrow. Overall, I lead a healthy life, but I need to watch for infections closely and see the doctor right away if I get sick. Sometimes, even with antibiotics, I have a hard time fighting illness or getting over coughs. I always get the flu shot. I have some family members who also have somewhat low white blood cell counts, but not as badly as I do.

Comment from: Taylor, 3-6 Female (Caregiver) Published: September 09

I have two children. My 4-year-old daughter has been diagnosed and my 18-month-old little girl too. They have both been on folic acid from birth as they are pre-term babies, but this is a condition that has grown progressively worse. They are both classed as Chronic Neutropenia cases now. My 4-year-old did get her numbers to an acceptable level, but they have recently dipped again. She is always pale, but my baby is yellowish. We are awaiting bone marrow tests again!

Comment from: allaboutme, 55-64 Female (Patient) Published: September 05

I was diagnosed with neutropenia when I was 49. The diagnosis puzzles me because I am not prone to infections or any types of colds, however when tested by an oncologist at least once a month, my white blood cells are consistently low. My "grams" are of such concern to the oncologist that I am given shots of neupegin (probably not spelling it right). These injections make my body ache for at least one day, and then I am back to my "normal." They do not know what caused it, but they are concerned enough to want me in at least once a month for a complete CBC.


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Neutropenia - Treatments Question: How did you treat your neutropenia?
Neutropenia - Symptoms Question: What symptoms did you experience with your neutropenia?

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Suggested Reading on Neutropenia by Our Doctors

  • Related Diseases & Conditions

    • Infectious Mononucleosis
      • Infectious mononucleosis is a virus infection in which there is an increase of white blood cells that are mononuclear (with a single nucleus) "Mono" and "kissing disease" are popular terms for this very common illness caused by the Epstein-Barr virus (EBV).
    • Staph Infection (Staphylococcus Aureus)
      • Staphylococcus or Staph is a group of bacteria that can cause a multitude of diseases. Staph infections can cause illness directly by infection or indirectly by the toxins they produce. Symptoms and signs of a Staph infection include redness, swelling, pain, and drainage of pus. Minor skin infections are treated with an antibiotic ointment, while more serious infections are treated with intravenous antibiotics.
    • Anemia
      • Anemia is the condition of having less than the normal number of red blood cells or less than the normal quantity of hemoglobin in the blood. The oxygen-carrying capacity of the blood is, therefore, decreased.
    • Tuberculosis
      • Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis bacteria. Symptoms include weakness, fever, weight loss, night sweats and in worse cases, chest pain, shortness of breath, and coughing up blood. A person with an active infection (a positive TB skin test, abnormal chest x-ray and TB bacteria in their sputum) requires treatment with izoniazid, rifampin, ethambutol and pyrazinaide.
    • Athlete's Foot
      • Athlete's foot (tinea pedis) is a skin infection caused by the ringworm fungus. Symptoms include itching, burning, cracking, peeling, and bleeding feet. Treatment involves keeping the feet dry and clean, wearing shoes that can breathe, and using medicated powders to keep your feet dry.
    • Jock Itch
      • Jock itch is an itchy red rash that appears in the groin area. The rash may be caused by a bacterial or fungal infection. People with diabetes and those who are obese are more susceptible to developing jock itch. Antifungal shampoos, creams, and pills may be needed to treat fungal jock itch. Bacterial jock itch may be treated with antibacterial soaps and topical and oral antibiotics.
    • Malaria
      • Malaria is an infectious disease transmitted by the bite of an infected Anopheles mosquito. Symptoms of malaria include chills, pain, fever, and sweating. Though mild cases of malaria can be treated with oral medication, severe cases require intravenous drug treatment and fluids.
    • Cancer
      • Cancer is a disease caused by an abnormal growth of cells, also called malignancy. It is a group of 100 different diseases, and is not contagious. Cancer can be treated through chemotherapy, a treatment of drugs that destroy cancer cells.
    • Fungal Nails
      • Fungal nails (onychomycosis) may be caused by many species of fungi but the most common is Trichophyton rubrum. Distal subungal onychomycosis starts as a discolored area at the nail's corner and slowly spread toward the cuticle. In proximal subungal onychomycosis, the infection starts at the cuticle and spreads toward the nail tip. Yeast onychomycosis is caused by Candida and may be the most common cause of fungal fingernail.
    • Felty's Syndrome
      • Felty's syndrome is a complication of long-term rheumatoid arthritis. Felty's syndrome is defined by the presence of three conditions: rheumatoid arthritis, an enlarged spleen, and an abnormally low white blood count. Treatment of Felty's syndrome is not always required; however, treatment for patients with infections is available.
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Neutropenia

What is jock itch? What does jock itch look like?

Jock itch is a common, itchy rash of the groin. It can be a very intense itch with or without a visible red or pink rash in the groin folds and genitals. Jock itch is primarily a skin condition in men.

The symptoms of jock itch may come and go, and many cases of jock itch resolve spontaneously without any treatment. Jock itch is primarily seen in the groin, although it may spread to the inner thighs, genitals (including penis, scrotum, labia, and vaginal opening), and anus.

While jock itch is frequently noted in otherwise healthy patients, patients with diabetes and/or obesity are more susceptible. Possible causes of this common groin itch include irritation from tight or abrasive underwear, excess moisture, sweating, skin rubbing or friction, allergic problems, fungal infection, Candida (yeast) infection, and bacterial overgrowth or skin infection.

Treatment of fungal-related ...

Read the Jock Itch article »




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