Case #439 - March, 2017
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A 29-year-old male immigrant from Nigeria presented to an emergency room with fever, splenomegaly, jaundice, and neurologic changes. Blood was drawn and used for a complete blood count (CBC) and complete blood chemistries panel which revealed anemia, thrombocytopenia, hypoglycemia, mildly elevated bilirubin and lactic acidosis. Figures A and B show what was observed on a Wright-Giemsa stained thin blood smear. What is your diagnosis? Based on what criteria?
Figure A
Figure B
Images presented in the monthly case studies are from specimens submitted for diagnosis or archiving. On rare occasions, clinical histories given may be partly fictitious.
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- Page last updated: April 19, 2017
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