Journal of Hematology, ISSN 1927-1212 print, 1927-1220 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Hematol and Elmer Press Inc
Journal website http://www.thejh.org

Case Report

Volume 1, Number 4-5, October 2012, pages 102-104


Megaloblastic Anaemia Presenting as Pyrexia: An Interesting Case Report

Figures

Figure 1.
Figure 1. Peripheral blood smear showing dimorphic picture and pancytopenia.
Figure 2.
Figure 2. Bone marrow revealing megaloblastic erythropoiesis.

Table

Table 1. Serial Haemogram Before and After Treatment
 
ParametersAdmission7th day of Admission2 weeks after vitamin B12 and folic acid
Hb (g%)3.04.09.6
MCV (80 - 100 fl)11011190
MCH (26- 34 pg)353531
MCHC (31 -37 g/dL)333434
TLC (cells/cumm)3,1003,4009,100
DLC
  Polymorphs363760
  Lymphocytes616036
  Eosinophills222
  Monocytes112
Platelets (per cumm)50,00052,0001,56,000
ESR (mm 1st hr.)10Not done12
Vit B12 level (normal 140 - 180 pg/mL)-100 pg/mL146 pg/mL
Folic Acid level (normal 5.0 mg/L)-3.8 mg/L5.0 mg/L