Pancytopenia and Profound Neutropeia as a Sequela of Severe SARS-CoV-2 infection with a Concern for Bone Marrow Involvement

Jarelys Hernandez-Jimenez, MD
Thursday, May 13, 2021
Category: Coronavirus, COVID-19, Immunocompromised Host, Infectious in Oncology, Viral Infections

Dr. Hernandez reviews a case of Coronavirus disease in a 44 year old B cell ALL patient with chronic Hepatitis B infection status post chemo. He was diagnosed with COVID-19 infection and developed severe pancytopenia during his disease course. She details the evaluation of the patient’s bone marrow deficiency, including the differential diagnosis, appropriate work up tools, and how the treating providers determined the cause to be SARS CoV 2 related pancytopenia and neutropenia, a recently recognized sequela of the disease. Other published cases are also presented and some of the pitfalls of G-CSF use are mentioned.

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