Case Report Barbara J Bain
This week’s blog editor recently played a huge part at the 2012 CellaVision Users’ Meeting when sharing her impressive knowledge in blood cell morphology with her peers. In this case report, Professor Barbara J Bain of Imperial College, UK introduces you to a sick young woman.
Here are the patient details:
A 27-year-old woman presented to an accident and emergency department with fever and feeling unwell. She developed a ‘rash’ and later that day was noted to be bleeding from cannulae sites. FBC showed WBC 4.3 x 109/l, Hb 161 g/l, MCV 88 fl and platelet count 35 x 109/l. She was given a platelet transfusion and intravenous fluids. A later blood count was: WBC 1.5 x 109/l, neutrophils 0.9 x 109/l, Hb 78 g/l, and platelet count 35 x 109/l. Her blood would not clot (PT, aPTT infinite, fibrinogen not detected, D-dimer 76,700). She had renal failure and an albumin less than 15 g/l. The changes in the blood count following resuscitation show how haemoconcentrated she had been at presentation.
What can you see in different cell images and what do you think about the woman’s condition?
Click on the cell images to enlarge them.