scholarly journals Bone marrow aspiration in a patient with systemic microsporidium

Author(s):  
Ximena Gomez ◽  
Jorge Castillo ◽  
Marco Gomez

A 34-year-old female presented with several weeks of fever, fatigue, weight loss, abdominal pain and hemoptysis. PE revealed moderate pallor, RUQ pain, mild dyspnea, conjunctival injection and hepatomegaly. The CBC showed anemia, mild leukocytosis, hypoalbuminemia, hypertransaminasemia, presence of nucleated red blood cells. Microsporidium was found in BMA.

1926 ◽  
Vol 43 (3) ◽  
pp. 289-296 ◽  
Author(s):  
Charles A. Doan

In general, there is a reversal of the normal in the ratio of clasmatocytes in the spleen to clasmatocytes in the bone marrow in pernicious anemia, with a marked tendency toward the phagocytosis of young, immature, nucleated red blood cells in the bone marrow. The peripheral blood picture suggests that these cells had never been in circulation. The observations made do not indicate that the spleen takes any directly active part in an increased destruction of blood in pernicious anemia.


1961 ◽  
Vol 201 (5) ◽  
pp. 905-909 ◽  
Author(s):  
Allan J. Erslev ◽  
Andre R. Boissevain

Measurements were made in normal rabbits of the early effect of acute anemic anoxia on the level of erythropoietic factor and on erythropoietic tissue. The erythropoietic factor was found to be increased 3 hr after the onset of anemic anoxia and before measurable changes could be detected in the erythropoietic tissue. The subsequent production and release appeared to be directly proportional to time. Bone marrow changes during the 8-hr experimental period were more difficult to measure. The best technique appeared to be a simple differential count with the measurement of the ratio between early and late nucleated red blood cells. In vitro bone marrow incorporation of Fe59 could be used only if the bone marrow volumes studied were of identical size, a requirement difficult to fulfill. Plasma iron turnover was not sensitive enough to measure early bone marrow changes.


1927 ◽  
Vol 45 (3) ◽  
pp. 399-410 ◽  
Author(s):  
Gulli Lindh Muller

1. Intravenous injections in rabbits of F. Weber Co.'s Drawing Ink gave the following results: (a) With large doses, an outpouring of nucleated red blood cells, in many instances reaching high values (60,000 to 70,000 per c.mm.), accompanied by a slight initial rise of erythrocytes and hemoglobin, followed by a moderate anemia and in one animal, a severe anemia. (b) With smaller doses the presence of nucleated red cells in the peripheral blood was correspondingly less, the hemoglobin and erythrocytes increasing above the initial level. This increase was sustained for a considerable time, followed by a decrease to or below the initial level. (c) Pregnancy caused a marked suppression, and, shortly before delivery, a complete suppression of the normoblastosis. Nucleated red blood cells reappeared in the blood after the litter was cast. 2. The filtrate of Weber's Drawing Ink, obtained through a Berkefeld filter W, produced the same effects, somewhat enhanced, as the whole ink. 3. The bone marrow of the animals injected with Weber's ink and the filtrate, both showed a marked erythrocytic hyperplasia, with many open sinuses lined with nucleated red blood cells in all stages of maturation. 4. As the dialysed ink gave practically the same results, and the dialysate proved to be without any effect, the conclusion was drawn that a non-dialysable protective colloid was responsible for the marked stimulation of the hematopoietic organs. 5. The delivery of nucleated erythrocytes was interpreted as due to growth pressure induced by rapidly growing red blood cells as well as intrasinusoidal formation of erythrocytes. Pressure due to rapidly increasing phagocytic cells must also be considered. 6. It is fair to conclude that carbon particles as such stimulate endothelial cells mainly toward clasmatocyte formation without incapacitating the endothelial cells, while colloidal silver apparently had a toxic and incapacitating effect on this system of cells.


PEDIATRICS ◽  
1950 ◽  
Vol 5 (4) ◽  
pp. 695-707
Author(s):  
ERIC DENHOFF ◽  
MAURICE W. LAUFER

Six children receiving tridione® showed : 1. A constant syndrome of : a decline in bone marrow megakaryocyte and nucleated red blood cell elements; a low peripheral blood platelet count; and prolonged clot retraction time. 2. An occasional association of: peripheral leukopenia, toxic signs in the red blood cells and lymphocytes, and an abnormal cephalin flocculation response. In one case the bone marrow megakaryocyte response occurred alone and was temporary; in another it was temporary but associated with a persistent decline in marrow nucleated red blood cells; and in a third case both the megakaryocyte and nucleated red blood cell depression were only temporary, despite continuation of the medication. Withdrawal of medication caused a return to normal values, most rapid and marked in the bone marrow. Tests for clot retraction time and platelet counts at regular intervals in addition to complete blood counts seem indicated in all patients receiving tridione®. When available, bone marrow studies, especially of megakaryocytes, would also be of value.


2019 ◽  
Vol 12 (1) ◽  
pp. 53-58
Author(s):  
Shivendra Vikram Singh ◽  
◽  
Megalamane Supreetha ◽  
Satyavathi R Alva ◽  
◽  
...  

Author(s):  
Itamar Nitzan ◽  
Calum T. Roberts ◽  
Risha Bhatia ◽  
Francis B. Mimouni ◽  
Arvind Sehgal

Objective The study aimed to assess the association of nucleated red blood cells (NRBC), a surrogate of intrauterine hypoxia, and elevated pulmonic vascular resistance (E-PVR) and oxygen requirement after minimally invasive surfactant therapy (MIST). Study Design Retrospective study of a cohort of preterm neonates that received MIST in a single unit. Results NRBC were measured in 65 of 75 (87%) neonates administered MIST during the period. In total, 22 of 65 (34%) infants had pre-MIST echocardiography (ECHO).Neonates with elevated NRBC (predefined as >5 × 109/L, n = 16) required higher post-MIST fraction of inspired oxygen (FiO2) than neonates with normal NRBC (<1 × 109/L, n = 17; FiO2 = 0.31 ± 0.10 and 0.24 ± 0.04, respectively, p = 0.02).NRBC correlated positively with % of time in right to left ductal shunt (r = 0.51, p = 0.052) and inversely with right ventricular stroke volume (r = −0.55, p = 0.031) and time to peak velocity to right ventricular ejection time ratio (r = −0.62, p < 0.001). Conclusion Elevated NRBC are associated with elevated FiO2 after MIST and elevated E-PVR. Intrauterine hypoxia may impact postnatal circulatory adaptations and oxygen requirement. Key Points


2021 ◽  
pp. 153537022110132
Author(s):  
Shu-Qin Liu ◽  
Xiao-Ye Hou ◽  
Feng Zhao ◽  
Xiao-Ge Zhao

Heart regeneration is negligible in humans and mammals but remarkable in some ectotherms. Humans and mammals lack nucleated red blood cells (NRBCs), while ectotherms have sufficient NRBCs. This study used Bufo gargarizan gargarizan, a Chinese toad subspecies, as a model animal to verify our hypothesis that NRBCs participate in myocardial regeneration. NRBC infiltration into myocardium was seen in the healthy toad hearts. Heart needle-injury was used as an enlarged model of physiological cardiomyocyte loss. It recovered quickly and scarlessly. NRBC infiltration increased during the recovery. Transwell assay was done to in vitro explore effects of myocardial injury on NRBCs. In the transwell system, NRBCs could infiltrate into cardiac pieces and could transdifferentiate toward cardiomyocytes. Heart apex cautery caused approximately 5% of the ventricle to be injured to varying degrees. In the mildly to moderately injured regions, NRBC infiltration increased and myocardial regeneration started soon after the inflammatory response; the severely damaged region underwent inflammation, scarring, and vascularity before NRBC infiltration and myocardial regeneration, and recovered scarlessly in four months. NRBCs were seen in the newly formed myocardium. Enzyme-linked immunosorbent assay and Western blotting showed that the levels of tumor necrosis factor-α, interleukin- 1β, 6, and11, cardiotrophin-1, vascular endothelial growth factor, erythropoietin, matrix metalloproteinase- 2 and 9 in the serum and/or cardiac tissues fluctuated in different patterns during the cardiac injury-regeneration. Cardiotrophin-1 could induce toad NRBC transdifferentiation toward cardiomyocytes in vitro. Taken together, the results suggest that the NRBC is a cell source for cardiomyocyte renewal/regeneration in the toad; cardiomyocyte loss triggers a series of biological processes, facilitating NRBC infiltration and transition to cardiomyocytes. This finding may guide a new direction for improving human myocardial regeneration.


2021 ◽  
Vol 4 (2) ◽  
pp. 1140-1155
Author(s):  
Xiaoyun Wei ◽  
Keke Chen ◽  
Shishang Guo ◽  
Wei Liu ◽  
Xing-Zhong Zhao

2017 ◽  
Vol 96 (10) ◽  
pp. 1741-1747 ◽  
Author(s):  
Phatchanat Klaihmon ◽  
Sinmanus Vimonpatranon ◽  
Egarit Noulsri ◽  
Surapong Lertthammakiat ◽  
Usanarat Anurathapan ◽  
...  

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