PMC9124847_01
PMC9124847_02
H&E section of the bone marrow showing vacuolization of the fat cells and absence of neutrophils.
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A bone marrow biopsy demonstrated hypocellular bone marrow with agranulocytosis and evidence of stromal damage ( Figure 1 ).
Timeline summarizing the process.
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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 ).