which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. A blood sample from a 36-year-old woman was tested for anemia. The peripheral blood film shows microcytic, hypo-chromic erythrocytes; mild anisocytosis; marked poikilocytosis, comprising elliptocytes, teardrop cells, and target cells; and a cluster of endoth...

I enjoyed the article by 1. Eivazi Ziai, et al. concerning "Use of myeloperoxidase index as a suitable tool to monitor response to therapy in patients with megaloblastic anemia" that was published in the last issue of the Medical Journal ofIslamic Republic of Iran. I I would like to make some points regarding this study. A. The authors mentioned that in primary evaluation of 50 anemic pa...

A clinical case is presented here of a patient from Afganistan. We found intraerythrocytic parasites consistent with malaria vivax. Additionally extraerythrocytic structures were seen. First a co-infection with Borrelia recurrentis was discussed later these structures were identified as male plasmodia microgametes resulting from exflagellation.

otic treatment was commenced. He later developed fever and bleeding at the stoma site. At this time his peripheral blood findings were as follows: Hb: 7.5 g/dL; WBC: 4.5 x 109/L; neutrophils: 58.8%; lymphocytes: 26.5%; eosinophils: 0.7%; monocytes: 13%; basophils: 1%; platelet count: 87 x 109/L. Peripheral blood smear showed dimorphic anemia and thrombocytopenia, as well as neutrophilic predomi...

Granulocytic sarcoma is a rare extramedullary tumor composed of immature myeloid cells. It is usually associated with leukemia or other myeloproliferative disorders but can also occur without overt hematologic diseases. The breast is an uncommon site of presentation and requires a high index of suspicion for diagnosis. We report such a case in a 45-year-old female, who presented with nontender ...

www.icjournal.org Budding Yeast Cells in Peripheral Blood Smear: Clue to Candidemia Sung-Yeon Cho, Hyojin Chae, Myungshin Kim, Dong-Gun Lee, and Hee-Je Kim Division of Infectious Diseases, Department of Internal Medicine, The Catholic Blood and Marrow Transplantation Center, Department of Laboratory Medicine, Division of Hematology, Department of Internal Medicine, Seoul St. Mary’s Hospital, Co...

A 17-year-old male with short gut syndrome secondary to Hirschprung disease presented with a 2-week history of night sweats. He had an indwelling central line for total parental nutrition (TPN) supplementation and a history of multiple line infections with a variety of organisms. After completing a 10-day course of prophylactic fluconazole, and 1 week before the onset of night sweats, he had 4 ...

A 33-year-old, previously healthy woman was re^^ferred to our hospital with a 3-week history of progressive shortness of breath and a nonproductive cough. Physical examination on admission revealed a well nourished, tachypneic white woman with a temperature of 37.6°C, blood pressure 121/73 mm Hg, and pulse rate of 96. Shotty right axillary aden¬ opathy and decreased breath sounds at the lung ba...

T his peripheral blood smear is from a 72-year-old woman, taken several hours before she died of recurrent plasma cell myeloma and newly developed secondary plasma cell leukemia. Her white blood cell count increased from 39.53 10/mL to 233.2 3 10/mL in 28 hours. The peripheral blood smear shows marked leukocytosis with numerous smallto medium-sized bizarre-looking cells (95% of white blood cell...