title: Recurrent febrile infections and neutropenia in a child with silent celiac disease.
abstract: BACKGROUND
  Today it is known that celiac disease (CD) may be silent or present with atypical extraintestinal symptoms (silent/atypical CD).
  
  
  METHODS
  The authors report the case of a 3-year-old child in whom the diagnosis of CD was made after several admissions to hospital for recurrent febrile infections and persistently moderate neutropenia. After the beginning of a gluten-free diet, we observed a remission of febrile infections and an increase in neutrophil count until it reached normal ranges.
  
  
  CONCLUSIONS
  We suggest that recurrent febrile infections and moderate neutropenia be included in the diagnostic workup for atypical/silent CD in the general population.
authors.affiliation: University of Catania, Catania, Italy. leonardi@unict.it
authors.forename: Salvatore
authors.initials: S
authors.lastname: Leonardi
authors.forename: Giovanna
authors.initials: G
authors.lastname: Vitaliti
authors.forename: Mario
authors.initials: M
authors.lastname: La Rosa
mesh_terms: D002446:Celiac Disease / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D002675:Child, Preschool; D005334:Fever / Q000209:etiology*; D006801:Humans; D008297:Male; D009503:Neutropenia / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D012008:Recurrence