Monthly Archives: June 2012

The diagnosis for mystery case #11

The diagnosis for mystery case #11

Lots of great comments for this case!

What you saw was G-6-P-D deficiency in crisis. Blood film showed acute drop in Hb with increased polychromasia, spherocytes, target cells, bite cells irregularily contracted cells and increased numbers of nucleated RBC.

There were numerous Heinz bodies in the Heinz body stain test. Bilirubin 462 (normal <300)

Thank you John Peters, Charge Scientist, Hematology Laboratory Middlemore Hospital Auckland New Zeeland for sharing this case with us.

If you have a case that you want to share on the blog don’t hesitate to contact us at blog@cellavision.com

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Mystery cells, case # 11

Mystery cells, case # 11

This week’s unusual case was sent to us by John Peters, Charge Scientist, Hematology Laboratory Middlemore Hospital Auckland New Zeeland.

The details are: Blood from a 10 day old, Chinese twin with prolonged jaundice.
A FBC was performed and the results are as follows:
Hb = 71 g/L
Hct = 0.22
MCV = 109 fL
Plt = 511 xE9/L
WBC = 34.1 x E9/L
NRBC = 7.03 x E9/L
Normal WBC differential

A smear was prepared  on a Sysmex SP1000 slide maker stainer and MGG-stained.
Differential count was performed using the CellaVision DM96.

The cells looked like this:

Click on the cells to enlarge them.… Read more »

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