{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T16:49:07Z","timestamp":1776185347776,"version":"3.50.1"},"reference-count":31,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T00:00:00Z","timestamp":1765152000000},"content-version":"vor","delay-in-days":341,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Pediatrics"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Severe congenital neutropenia (SCN) is a rare group of hematologic disorders characterized by defects in the maturation and differentiation of neutrophilic granulocytes. This condition leads to severe chronic neutropenia, defined as an absolute neutrophil count of less than 0.5 \u00d7 10^9\/L, and susceptibility to lethal pyogenic and fungal infections. SCN has a diverse genetic basis; however, it is most commonly linked to mutations in the\n                      <jats:italic>ELANE<\/jats:italic>\n                      gene, with over 230 mutations reported to date.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>\n                      We present a male term newborn who exhibited symptoms of neonatal pneumonia, delayed separation of the umbilical cord stump, and persistent neutropenia. Diagnosis was confirmed through bone marrow aspiration biopsy and a genetic analysis revealing the novel mutation c.200C\u2009&gt;\u2009G (p.Ser67Trp) in the\n                      <jats:italic>ELANE<\/jats:italic>\n                      gene, marking the first reported case of SCN from North Macedonia. Additionally, a comprehensive review of published cases will be provided.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>SCN is rarely reported in newborns, and the diagnosis is often delayed or missed. Maintaining a high level of suspicion and ensuring early referral for genetic testing is required to reduce the risk of infection and improve the overall prognosis. Also, reporting cases harboring novel mutations is crucial for advancing our understanding of the disease pathogenesis and establishing phenotype\u2013genotype correlations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/crpe\/6873929","type":"journal-article","created":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T09:49:43Z","timestamp":1765187383000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Severe Congenital Neutropenia in a Newborn Caused by a Novel Mutation in the\n                    <i>ELANE<\/i>\n                    Gene\u2014First Report From North Macedonia and a Literature Review: A Case Report"],"prefix":"10.1155","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5318-9554","authenticated-orcid":false,"given":"Nikolina","family":"Zdraveska","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4655-3799","authenticated-orcid":false,"given":"Teodora","family":"Trajkovska","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2851-5228","authenticated-orcid":false,"given":"Aleksandra","family":"Jovanovska","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arjeta","family":"Hasani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mica 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