title: A case of recurrent agranulocytosis due to levamisole.
abstract: Agranulocytosis is a rare complication of levamisole. We report a 22-year-old female who developed agranulocytosis due to levamisole. The patient initially presented with salmonellosis and agranulocytosis, and then she recovered with treatment. However, 2 months after discharge, she again presented with tonsillitis and agranulocytosis. This time the family revealed that she had been taking levamisole. Though Salmonella infection is a recognized cause of agranulocytosis, any patient presenting with repeated agranulocytosis after an initial recovery should make the clinician suspect another cause, especially drug-induced. A case of Salmonella infection where levamisole was an unsuspecting cause of agranulocytosis has not been described in indexed literature. Recurrent agranulocytosis due to repeated exposure to levamisole has also not been described.
authors.affiliation: Department of Medicine, Malankara Orthodox Syrian Church Medical College, Kolenchery, Ernakulam District, Kerala, India.
authors.forename: Abraham M
authors.initials: AM
authors.lastname: Ittyachen
authors.affiliation: Department of Medicine, Malankara Orthodox Syrian Church Medical College, Kolenchery, Ernakulam District, Kerala, India.
authors.forename: Mohan B
authors.initials: MB
authors.lastname: Jose
authors.affiliation: Department of Medicine, Malankara Orthodox Syrian Church Medical College, Kolenchery, Ernakulam District, Kerala, India.
authors.forename: Jobin R
authors.initials: JR
authors.lastname: Benjamin
mesh_terms: D000380:Agranulocytosis / Q000139:chemically induced* / Q000175:diagnosis; D000969:Antinematodal Agents / Q000008:administration & dosage / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007978:Levamisole / Q000008:administration & dosage / Q000009:adverse effects*; D012008:Recurrence; D012480:Salmonella Infections / Q000150:complications / Q000175:diagnosis; D055815:Young Adult
chemical_list: D000969:Antinematodal Agents; D007978:Levamisole
keywords: Agranulocytosis; levamisole; salmonellosis