colony-stimulating factors and eventually developed a bone marrow failure with marrow aspirates and core biopsy demonstrating hypocellular marrow with erythroid and myeloid hypoplasia. He had constant neutropenic fevers and became transfusion dependent despite discontinuing the immunosuppressant agents, leaving no alternatives but to try for a bone marrow transplant. Discussion: This case highlights the difficulty in diagnosis considering our patient had more than one reason that could have contributed to aplastic anemia. It also demonstrates the challenges in the management of transplant patients when it comes to striking a balance between the need vs the risk of immunosuppression.
40
Made with FlippingBook Digital Publishing Software