"Case 9"
Case 9

Case 9
History:
18 year old male student from south of iran. Came to the emergency room with symptoms of fever, shaking chills, nausea, and generalized malaise; occurring intermittently over the past five days.
Physical Exam:
Fever of 103.3°F. Tachycardia with a heart rate of 122.Otherwise within normal limits.

Slide 3

CBC
RBC 5.85 x 10[12]/L
HGB 13.3 g/dL
HCT 41.8 %
MCV 71.5 fL
MCH 22.7 pg
MCHC 31.8 g/dL
RDW 12.1
WBC 6.2 x 10[9]/L)N 89 % L 8 M 2 E 1 B 0(
PLT 102 x 10[9]/L

"Question"
Questions

What morphologic alterations are seen in this blood smear field?

What further laboratory studies, if any, are indicated?

What is the most likely diagnosis?