Following points may be able to answer querry:
1 There is a very small risk of neutropenia
(as well as exacerbation of pre-existing neutropenia) with botox
therapy. It is considered to be autoimmune reaction and generally does not lead to serious consequence and improves gradually.
2 Introducing bacteria is a distant possibility with botox injection if sufficient precautions are taken during procedure. If unfortunately it occurs, it can be managed by treating doctor.
3 Incidentall Keppra
) can also result in low white cell count and youe hematologist
must have considered it
Wish all the best