FATAL AGRANULOCYTOSIS DEVELOPED IN THE COURSE OF CARBAMAZEPINE THERAPY - A CASE-REPORT AND REVIEW OF THE LITERATURE

A case of fatal agranulocytosis in an adolescent who was on carbamazep ine therapy is presented. The clinical and laboratory findings suggest that the primary cause of the disorder was neutropenia rather than in fection, and the preceding factor for neutropenia was carbamazepine. T he timing of occurrence of the hematologic picture, its dependency on dose increments, and the lack of symptoms until infection supervened a re consistent with an idiosyncratic-toxic drug reaction (type 2 drug r eaction). This is the first reported agranulocytosis case due to craha mazepine in adolescence.