Hematology Case 2
Presented By Dr Tamer Soliman
Released on 01-05-2019Patient Data
Female , 10 y old
Clinical Data
History of fever (41ºC).
Related Laboratory Results
WBCs 26.2 x103/mm3
RBCs 5.62 x106/mm3 Hb 14.2 g/dl
MCV 75.3 fL MCH 27.0 pg
PLT 248 x103/mm3
Differential count:
Neutrophils 88% Lymphocytes 5%
Monocytes 6% Eosinophils 1%
Basophils 0%
Case Picture(s) / Photo(s)
Comment / Findings
Leukocytosis with neutrophilia.
· Most of the neutrophils examined in films had ‘botryoid’ or grape-like nuclei, each with 6 or more lobes, often in wheel-spoke array.
· Also, many lymphocytes exhibited nuclear budding or lobation.
Rare Occasional monocytes appeared binucleate or multi-lobed
Final Diagnosis
Abnormal WBCs morphology due to Hyperthermia.