AI Article Synopsis

  • * A rare but serious complication called late-onset neutropenia (LON) was observed in a patient three months after the last dose of ocrelizumab, necessitating treatment with antibiotics and filgrastim.
  • * This case emphasizes the need for regular blood tests to monitor for severe neutropenia, which can occur unexpectedly and poses significant health risks.

Article Abstract

Ocrelizumab is a recombinant humanized antibody targeted against CD-20 molecule, which was approved for the treatment of relapsing and primary progressive multiple sclerosis. Common adverse events of ocrelizumab include infusion-related reactions like rash, pruritus, and flushing. Late-onset neutropenia (LON) is a rarely reported complication of ocrelizumab therapy. We report a case of severe late-onset neutropenia in a patient with primary progressive multiple sclerosis treated with ocrelizumab with neutropenia occurring 3 months after the last dose received treated with empirical broad-spectrum intravenous antibiotics and filgrastim. Severe late-onset neutropenia is a rare unpredictable adverse event and outlines the importance of regular routine blood workup for detecting severe neutropenia early in its course.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8770231PMC
http://dx.doi.org/10.1002/ccr3.5299DOI Listing

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