Klebsiella Bacteremia Detected on Peripheral Blood Smear.

The blood samples were sent to the lab for further investigations. A comple te b lood count showed hemoconcentration, leucopenia and thrombocytopenia. Hb 15.1 gm/dl, total WBC count 1.93 x 109/L, (myelocyte 1%, metamyelocyte 4%, band forms 14%, segmented neutrophi ls 30% lymphocytes 47% and monocytes 4%.) and platelet count 102 x 109/L. Peripheral blood smear demonstrated leucopenia with shif t to lef t in granulocytes peripheral blood smear is unusual and should be regarded as a useful indicator of overwhelming infection, supporting an early and definitive diagnosis of septicemia. Although several species of bacteria have been described on the examination of peripheral blood smears, detection of bacteremia due to Gram negative rods on a film has been rarely reported.1