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.
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