Leprosy is a common skin disease in Sri Lanka which is being increasingly diagnosed due to the existing successful public health\nprogramme. Dapsone is a drug which holds unique pharmacological properties where it serves as both anti-inflammatory and\nantimicrobial agents. Of its main adverse effects, agranulocytosis is a serious consequence which is reported mainly in adults and\nelderly. We report a 7-year-old child who sustained life-threatening skin and subcutaneous tissue sepsis because of dapsoneinduced\nagranulocytosis. Besides, this case highlights the importance of meticulous monitoring of cell counts due to the risk of\nneutropenia and the natural history of cell recovery following occurrence of neutropenia. )ough high mortality rate has been\ndescribed in most of the similar cases reported, the child we describe made a complete recovery following severe\nneutropenic sepsis.
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