Mystery cells, case #8

Mystery cells, case #8

Here is something interesting found on a CellaVision DM96 in San Diego, CA:

A 30 year old male walked into ER with fever and lethargy.

The patient details:

  • WBC 48.6
  • PLT 83
  • HGB 10.8
  • HCT 31.8

After running the man’s blood smear on the CellaVision DM96 the laboratory also reported 4 NRBC’s, 1 Plasma Cell and 60% Blast Cells.

What do you think about the man’s condition?

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iPad for CHOP

iPad for CHOP

The winner of an iPad in the drawing for the CellaVision annual customer survey was Susan Shibutani at Children’s Hospital of Philadelphia, PA, USA. Thank you and congratulations Susan!

Susan has chosen to donate the iPad to the Children’s Hospital Outpatient lab for use by the pediatric patients when they are at the Hospital. This gift will be appreciated and a wonderful way to help kids that are stressed by their visit to the Hospital.

Children’s Hospital of Philadelphia (CHOP) is consistently ranked as the number one Children’s Hospital in the United States and has a CellaVision DM96 in their laboratory.

The iPad was presented to Susan Shibutani, CoreRead more »

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The diagnosis for mystery case #7

The diagnosis for mystery case #7

The patient was from Africa, and she had been tested HIV-positive.

The cells in row 4 were not WBC’s – but Cryptococcus. As many of you recognized!

The patient was very ill when she came to the hospital, and it took several months to cure her from the Cryptococcus infection.

Cryptococcus is a type of yeast, which has a capsule surrounding the cell.

The organisms are round to oval yeast-like fungi from 3,5 to 8 µm in size, with a thick mucopolysaccharide capsule. The capsule is often visible as a clear area around a central core.

Thank you Margit Grome and Lennarth Friis-Hansen for sharing this case!

The… Read more »

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Mystery cells, case #7

Mystery cells, case #7

Here is another case from Copenhagen University Hospital in Denmark. Margit Grome, Biomedical Laboratory Scientist, and her colleague Lennarth Friis-Hansen M.D., give you the details:

A woman, age 32 was hospitalized at the department of Infectious Diseases.
A CSF was collected and sent to the lab.
The results were:

  • Erythrocytes: 2280 x 106/l
  • Leukocytes:    339 x 106/l
  • Glucose:  0,8 mmol/l    (ref; 2,2 – 3,9)
  • Protein:  1,68 g/l         (ref: 0,15 – 0,50)

A Cytospin-smear was prepared and MGG-stained. Differential count was performed using the CellaVision Body Fluid Application and the CellaVision DM96.

The cells looked like this:

The analysis showed:

  • 50 %  Neutrophils
  • 16 %  Lymphocytes
  • 0,5 % Eosinophil
  • 22 %  Monocytes/macrophages

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The diagnosis for mystery case #6

The diagnosis for mystery case #6

The man was diagnosed with Mantle Cell Lymphoma. The condition is an uncommon type of non-Hodgkin’s lymphoma that mostly affects older adults.

Great input from our readers as usual!

Read more about Mantle Cell Lymphoma at Haematologica

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