Granulocyte colony-stimulating factor-induced hypersensitivity reaction with leukocytosis in a pediatric germ cell tumor patient: a case report - Summary - MDSpire

Granulocyte colony-stimulating factor-induced hypersensitivity reaction with leukocytosis in a pediatric germ cell tumor patient: a case report

  • By

  • Yuhui Tan

  • Chaoyong Wei

  • Wenyan Xiao

  • Yilan Fu

  • Xi Chen

  • Yanxiang Tang

  • Changli Tang

  • June 8, 2026

  • 0 min

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Objective:

To report a case of systemic hypersensitivity reaction and leukocytosis in a pediatric patient following administration of different G-CSF formulations after chemotherapy, highlighting the clinical significance of these findings.

Key Findings:
  • The patient experienced severe hypotension and hypoxemia within hours of G-CSF administration, indicating a serious adverse reaction.
  • Leukocytosis was noted, with a significant increase in white blood cell count, raising concerns about the safety of G-CSF formulations.
  • Eosinophilia suggested drug sensitization, emphasizing the need for careful monitoring.
Interpretation:

This case highlights the potential for hypersensitivity reactions to G-CSF, even with different formulations, and underscores the need for clinical vigilance in pediatric patients receiving G-CSF.

Limitations:
  • The case is singular and may not represent broader patient populations, necessitating further studies.
  • Further studies are needed to validate the safety profile of efbemalenograstim alfa-vuxw in pediatric patients, particularly in diverse populations.
Conclusion:

This is the first documented pediatric case of recurrent systemic hypersensitivity reactions induced by sequential administration of different G-CSF formulations, underscoring the importance of monitoring for hypersensitivity in pediatric patients.

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