case_images: PMC9124847_01
case_images: PMC9124847_02
case_images: H&E section of the bone marrow showing vacuolization of the fat cells and absence of neutrophils.
case_images: fimmu-13-880016-g001.jpg
case_images: PMC9124847_02_fimmu-13-880016-g001.jpg
case_images: f1
case_images: A bone marrow biopsy demonstrated hypocellular bone marrow with agranulocytosis and evidence of stromal damage ( Figure 1 ).
case_images: Timeline summarizing the process.
case_images: fimmu-13-880016-g002.jpg
case_images: PMC9124847_02_fimmu-13-880016-g002.jpg
case_images: f2
case_images: HHV-6 infection was suggested and the patient was discharged with a very slow taper down regimen of glucocorticoids, and additional low dose aspirin. Her white blood cell count continued to recover until full normalization with no glucocorticoid therapy, and her genital ulcers gradually healed ( Figure 2 ).