Case 63 – update 2

Our four year old has been having fever and is pale. A blood count showed:

  • Hb 45g/l (115-145g/l)
  • MCV 85fL
  • WCC 12×10*9/l (5-15×10*9/l) with normal white cell differential
  • Platelets 352×10*9/l (150-450×10*9/L)
  • Reticulocytes 5×10*9/l (50-100×10*9/l)


A blood film is requested and here is a small part


Case 63 film



  • What do you see in the blood film?
  • What does the low reticulocyte count mean?
  • What tests would you request next?


Please reply to us (@TeamHaem) 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 on Twitter 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 and learning.



About TeamHaem

Online education and discussion about all things haematological
This entry was posted in Anaemia, Paediatric haematology and tagged , , , , , , , , . Bookmark the permalink.