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抗精神病藥物에 依한 無顆粒細胞症 治驗 1例

A Case of Neuroleptic-Induced Agranulocytosis

The authors experienced a female schizophrenic patient who revealed severely decreased leucocytes (350/mm3) w ith the manifestation of h ig h fever, chillness and sore throat after the oral administration of neuroleptics. Agranulocytosis induced with the use of neuroleptic drugs has been well known complication in psychiatric practice although it is quite rare. In this case, following the combined use of neuroleptics (thioridazine halopondol and chlorproonazine), severe decrement of leucocytes (mainly lymphocytes with few neutrophils) was noticed on peripheral blood and marked decrement of erythroid series, especially of myeloid series, with decrement of total cellular elements were confirmed through the biopsy of bone marrow. She did not responded at all to the massiveadministration of antibiotics, but dramatic improvement was noticed both clinically and in the follow-up biopsy findings of bone marrow after two times trial of leukapheresis

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