Hematology Case 23
Hematology Case 23
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Presented By Dr Mohammad Moharram
Released on 25-11-2019Patient Data
Patient Data
68 year old male patient
Clinical Data
Clinical Data
Known case of multiple myeloma (plasma cell myeloma).
Patient underwent bone marrow transplantation 2 years ago.
A spinal mass has been removed 2 months ago. Histopathology reported infiltration with plasma cell neoplasm. Patient started chemotherapy.
4 days ago patient admitted with fever, cough , and generalized body-ache.
Pleural fluid aspirate is collected and sent to lab.
Related Laboratory Results
Related Laboratory Results
- Mild Normocytic Normochromic Anemia.
- Pleural Fluid Cell Count (by automated cell counter):
Total Cell Count: 1.15X103 /uL - WBC: 0.45X103 /uL
Mononuclear Cells: 85% - Polymorphnuclear leukocytes: 15%
- Microscopic examination of pleural fluid was performed
Case Picture(s) / Photo(s)
Case Picture(s) / Photo(s)
Comment / Findings
Comment / Findings
Pleural Fluid smear was stained with Giemsa Stain.
Microscopic examination showed 65% of plueral fluid cells are plasma cells. Some of them are multinucleated.
Final Diagnosis
Final Diagnosis
Plasma cell infiltration of pleura
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