Pseudoeosinophilia with Abnormal WBC Scattergram: an Important Diagnostic Clue on Hematology Analyzer

Authors

  • Swathi C Prabhu Government Medical College and hospital, Chandigarh, India https://orcid.org/0000-0002-0742-5373
  • Anita Tahlan Government Medical College and Hospital, Chandigarh, India
  • Shreya Sharma Government Medical College and Hospital, Chandigarh, India
  • Sarabmeet S Lehl Government Medical College and Hospital, Chandigarh, India

DOI:

https://doi.org/10.3126/nmj.v4i2.41920

Keywords:

Malaria, Sysmex, Pathology

Abstract

Malaria is one of the most common parasitic diseases causing a significant burden on health care, especially in India. Light microscopy, the gold standard for malaria diagnosis is time-consuming especially in a setup where the caseload is high and parasite index is low. Knowledge of abnormal scattergrams by the malarial parasite is very essential to suspect malaria and screen those cases thoroughly on a peripheral smear for accurate diagnosis. A timely and accurate diagnosis is crucial to the prognosis of this disease.

Herein, we report a case of a 40-year-old male from Punjab who presented to the emergency with fever and an altered sensorium. Analyzer showed characteristic pseudo eosinophilia with greying of neutrophil eosinophil zone with double eosinophil cluster. According to flagging rules because of eosinophilia, peripheral blood film (PBF) was made and examined, which revealed Plasmodium falciparum gametocytes.

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Author Biographies

Swathi C Prabhu, Government Medical College and hospital, Chandigarh, India

Resident Pathologist, Department of Pathology

Anita Tahlan, Government Medical College and Hospital, Chandigarh, India

Professor, Department of Pathology,

Shreya Sharma, Government Medical College and Hospital, Chandigarh, India

Junior resident, Department of Pathology

Sarabmeet S Lehl, Government Medical College and Hospital, Chandigarh, India

Professor,Department of General Medicine

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Published

2021-12-31

How to Cite

Prabhu, S. C., Tahlan, A., Sharma, S., & Lehl, S. S. (2021). Pseudoeosinophilia with Abnormal WBC Scattergram: an Important Diagnostic Clue on Hematology Analyzer. Nepalese Medical Journal, 4(2), 502–505. https://doi.org/10.3126/nmj.v4i2.41920

Issue

Section

Case Reports