Case 16 – update 2

The patient has swinging fevers up to 39oC overnight and is reviewed my the consultant on the post take ward round.  The consultant has listened to #teamhaem and a number of investigations are in progress.  These include: B12, folate, HIV, hepatitis B&C, CMV, EBV, percentage conjugated  bilirubin, retics, sickle cell screen.  Microbiology includes stool MCS and OCP, blood cultures, urine cultures, sputum MCS and AFB if produces.

The consultant notes a mildly enlarged spleen and liver but no other peripheral lymphadenopathy.  A viral infection is suspected.

Coag results reveal:

PT 15 (12-14s)

APTT 32 (25-32s)

Fibrinogen 0.8

The above should keep us interested!

He has a blood film done.

Image

Questions

  • What do you think of the film?

Please reply on Twitter and always include #teamhaem to allow others to follow your comments. Please join in the debate and learn about haematological problems along the way. The case will continue to  evolve over the coming week so keep checking #teamhaem for more information.

Please note – all cases on TeamHaem are entirely fictional to protect patient confidentiality.

TeamHaem are not a position of authority.  It is an educational platform to allow discussion

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Online education and discussion about all things haematological
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