A 65-year-old man was brought to the ER for altered mental status for 12 hours. At ER, the patient was lethargic with hyperthermia. The laboratory studies revealed intravascular hemolysis with anemia, hyperkalemia, and elevated LDH. The abdominal CT showed liver abscess with marked aerobilia. Respiratory condition deteriorated rapidly, necessitating intubation. A massive amount of blood exuded ...

The blood samples were sent to the lab for further investigations. A comple te b lood count showed hemoconcentration, leucopenia and thrombocytopenia. Hb 15.1 gm/dl, total WBC count 1.93 x 109/L, (myelocyte 1%, metamyelocyte 4%, band forms 14%, segmented neutrophi ls 30% lymphocytes 47% and monocytes 4%.) and platelet count 102 x 109/L. Peripheral blood smear demonstrated leucopenia with shif t...

Figure 2. Bone marrow aspirate smear demonstrating blasts of myeloid lineage. Figure 1. Peripheral blood smear showing a myeloblast.

http://bloodjournal.hematologylibrary.org/site/misc/rights.xhtml#repub_requests Information about reproducing this article in parts or in its entirety may be found online at: http://bloodjournal.hematologylibrary.org/site/misc/rights.xhtml#reprints Information about ordering reprints may be found online at: http://bloodjournal.hematologylibrary.org/site/subscriptions/index.xhtml Information abo...

Abstract In this case report, the author reports three strong and highly unusual changes in peripheral blood of a domestic cat infected with Anaplasma . A freshly made smear from had shower about 100 variably large to huge cytoplasmic fragments megakaryocyte cytoplasm along feathered edge. These budding platelets at their margins. Neutrophils red inclusions resembling ragocytes neutrophils inge...

Buffy coat smears from febrile patients may contain visible bacteria and therefore detect bacteraemia before conventional blood cultures become positive. However, it is unusual to see micro-organisms in an otherwise untreated peripheral blood smear. The case of a febrile neutropenic patient is reported. A Wright's stained peripheral blood smear contained bacterial elements, thus making earlier ...