question: My son has Hydrocephalus , Cerebral Palsy , Epilepsy and severe chronic neutropenia believed to be autoimmune neutropenia . He is 3.5yrs old. The Neutropenia has been ongoing for 11 months (that we know of). His marrow has responded when he has had small infections. He is on Keppra for seizures. He is due to undergo Botox therapy in one week for spasticity in his right leg. Please advise risks. The attending pediatrician and his hematologist believe there s a small risk of introducing bacteria and that this would be easily managed with antibiotics should he develop an absyss. We are struggling to find any data on neutropenia and Botox use so that we can make a decision.