Hematology Case Study E - History: A 53-year-old male developed

MEDT 4600 Hematology Review

Case Study E

History: A 53-year-old male developed flu like symptoms with a high fever that progressed over the course of the week. Other symptoms include a weakness in his arms and legs, joint pains, painful headache and a sensitive scalp.

Lab results were:

WBC 3.7

RBC 3.45

HGB 11.0

HCT 34.0

MCV 89.5

MCH 29.7

MCHC 33.2

RDW 14.1

PLT 118

Differential:

Segs 72%

Lymphs 9%

Mono 19%

Retic 2.0%

*MT noticed erythrocyte intracellular ring-like structures.

Chemistry:

AST 4863

ALT 1855

ALP 72

Total Bilirubin 0.6

Direct Bilirubin 0.3

Total protein 6.0

Additional Information: Several of the rings like structures were extracellular and the patient

has never been outside of the U.S.

Question 1 – Based on all of the results and information, what is the best possible diagnosis?

And how was the patient most likely infected with this disease?