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Agranulocytosis (secondary granulopenia) occurs occasionally in the course of a prolonged infection. It has been reported in association with streptococcic pneumonia, osteomyelitis and staphylococcic septicemia. It is uncommon, however, to find malignant neutropenia occurring as a complication of maxillary sinusitis.
REPORT OF A CASE
M. E. D., a single white woman aged 39, a stenographer, was admitted to the Albert Merritt Billings Memorial Hospital to Dr. O. H. Robertson's medical service on March 13, 1938. She complained of pain in the right side of the chest that had been present for one day and of having had a chill on the day before admission.Of significance in her past history was an attack of pneumonia in 1935, with a stormy course and delirium; she was, however, in a hospital for only eighteen days at that time. She gave a history of frequent colds (four or five a year) but not