Hematology Case 2

Presented By Dr Tamer Soliman

Released on 01-05-2019

Patient 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.