scholarly journals Macroscopic White Blood Cell Casts: An Extremely Rare Presentation of Klebsiella Pyelonephritis

2020 ◽  
Vol 6 (1) ◽  
pp. 9-10
Author(s):  
Larry B. Mellick ◽  
◽  
Kimberly M. Rathbun ◽  

In this case report, we present a patient with severe pyelonephritis who presented complaining of passing worm-like tissue from his penis. This patient was passing macroscopic ureteral white blood cell casts resulting from a severe pyelonephritis caused by Klebsiella pneumoniae.

1979 ◽  
Vol 144 (8) ◽  
pp. 544-544
Author(s):  
Denis J. Frank ◽  
Marcos S. Souza Lima ◽  
Robert A. Herman ◽  
Eugene R. Schiff

2019 ◽  
Vol 11 (01) ◽  
pp. 097-099 ◽  
Author(s):  
Rubal Jain ◽  
Ujjawal Khurana ◽  
Bhavna Dhingra Bhan ◽  
Garima Goel ◽  
Neelkamal Kapoor

AbstractA 1½-year-old female child presented with swelling in thoracolumbar region and delayed developmental milestones. The routine hemogram analysis on Sysmex XN 1000 showed flags of white blood cell (WBC) abnormal scattergram and lymphocytosis. The peripheral smear examination showed Alder–Reilly (AR) granules leading to a suspicion of underlying Mucopolysaccharidosis (MPS). Further clinical workup, radiographic studies, chemical test lead to the confirmatory diagnosis of MPS. A flag of abnormal WBC scattergram and AR anomaly are the hematological findings that can be seen in a case of MPS.


1988 ◽  
Vol 153 (12) ◽  
pp. 643-644
Author(s):  
Stephan G. Moran ◽  
James K. Wright

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Anne Christine Nordholm ◽  
Lars Haukali Omland ◽  
Steen Villumsen ◽  
Imad Al-Subeihe ◽  
Terese L. Katzenstein

Abstract Background Leptospirosis is a reemerging zoonosis with a worldwide distribution and a wide range of clinical manifestations. We report a case of leptospirosis meningitis in a previously healthy woman infected by her pet mouse. Case presentation A 27-year-old Caucasian woman with pet mice presented to our institute with a 1 week history of fever, headache, myalgia, vomiting, diarrhea, and dark urine. Her admission examination revealed neck stiffness, conjunctivitis, and icteric sclera. Her liver enzymes, bilirubin, white blood cell count, and C-reactive protein were elevated. Her cerebrospinal fluid showed an elevated white blood cell count. Polymerase chain reactions using her cerebrospinal fluid, blood, and urine showed negative results for leptospirosis, but the result of her microagglutination test was positive for Leptospira interrogans serovar sejroe with a more than threefold increase in paired sera. The patient was treated with ceftriaxone for 1 week, and her condition steadily improved. Conclusions This case report raises awareness of pet rodents as sources of leptospirosis. Leptospirosis meningitis should be considered in patients with meningeal symptoms and pet rodents.


2009 ◽  
Vol 28 (10) ◽  
pp. 1272-1272
Author(s):  
Hu-ping XIA ◽  
Min HU ◽  
Jun-ling WANG ◽  
Xiao-qin ZHAO ◽  
Zhi-hui LIU

1996 ◽  
Vol 76 (02) ◽  
pp. 184-186 ◽  
Author(s):  
Kenji lijima ◽  
Fumiyo Murakami ◽  
Yasushi Horie ◽  
Katsumi Nakamura ◽  
Shiro Ikawa ◽  
...  

SummaryA 74-year-old female developed pneumonia following herpes simplex encephalitis. Her white blood cell counts reached 28,400/μl, about 90% of which consisted of granulocytes. The polymorphonuclear (PMN) elastase/α1-arantitrypsin complex levels increased and reached the maximum of 5,019 ng/ml, indicating the release of a large amount of elastase derived from the granulocytes. The mechanism of PMN elastase release was most likely to be granulocyte destruction associated with phagocytosis. The cleavage of fibrinogen and fibrin by PMN elastase, independent of plasmin, was indicated by the presence of the fragments in immunoprecipitated plasma from the patient corresponding to elastase-induced FDP D and DD fragments and the absence of fragments corresponding to plasmin-induced FDP D and DD fragments on SDS-PAGE. These findings suggested that the large amount of PMN elastase released from the excessive numbers of granulocytes in this patient with herpes simplex encephalitis and pneumonia, induced the cleavage of fibrinogen and fibrin without the participation of plasmin.


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