Follow-up abdominal ultrasound yields only a low overall diagnostic gain in polytrauma patients in whom initial CT fails to detect any abdominal injuries but incurs high personnel expenses for radiological departments.

Key Clinical MessageThis case report describes the successful use of granulocyte and macrophage colony‐stimulating factor as salvage therapy and an alternative to hematopoietic stem cell transplantation in a 14‐year‐old adolescent with metamizole (dipyrone)‐induced agranulocytosis and severe septic shock.

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