This was a case of Plasmodium Vivax although Ovale is also a good call: A. Trophozite – often multiply infected with large chromatin dots B.…
The blood film shows sickle cells (green arrow) whilst the chest X-ray has pulmonary infiltrates (white arrow).
Assuming the infiltrates are new, the respiratory symptoms point towards Acute Chest Syndrome (ACS).
The factors leading to this include:
Mortality can be as high as 10% in adults! Respiratory support (oxygen, invasive/non-invasive ventilation), treatment of infection is needed.
Reducing the HbS% can be done using exchange transfusion or simple transfusion. Remember to act quickly, time is precious to prevent further complications.
Our intensive colleagues are so important in all these patients (keep them happy).
Subscribe today at www.blood-academy.com to continue your learning
There was a problem reporting this post.
Please confirm you want to block this member.
You will no longer be able to:
Please allow a few minutes for this process to complete.