case_images: PMC6323427_01
case_images: Computed tomographic coronal section showing hepatosplenomegaly.
case_images: CRIM2018-8057045.001.jpg
case_images: PMC6323427_01_CRIM2018-8057045.001.jpg
case_images: fig1
case_images: It showed hepatosplenomegaly but no intra-abdominal abscesses (Figure 1).
case_images: Marked anisopoikilocytosis with microcytosis. Teardrop cells, target cells, and contracted red blood cells can be seen. Leukopenia and thrombocytopenia are present.
case_images: CRIM2018-8057045.002.jpg
case_images: PMC6323427_01_CRIM2018-8057045.002.jpg
case_images: fig2
case_images: Peripheral blood film showed marked leukopenia, thrombocytopenia, and significant anisopoikilocytosis with microcytosis and target and tear drop cells consistent with a picture of thalassaemia intermedia (Figure 2).
case_images: Hypocellular marrow fragment for age with decreased cell trails.
case_images: CRIM2018-8057045.003.jpg
case_images: PMC6323427_01_CRIM2018-8057045.003.jpg
case_images: fig3
case_images: A's marrow however was hypocellular with decreased cell trails on the aspirate (Figure 3).
case_images: (a, b) Giant erythroblasts with inclusion bodies dwarfing the granulocyte precursors.
case_images: CRIM2018-8057045.004.jpg
case_images: PMC6323427_01_CRIM2018-8057045.004.jpg
case_images: fig4
case_images: There was marked erythroid hypoplasia with rare giant erythroblasts, and inclusion bodies were seen (Figure 4).
case_images: Haemosiderin-laden macrophage with active haemophagocytosis of an RBC.
case_images: CRIM2018-8057045.005.jpg
case_images: PMC6323427_01_CRIM2018-8057045.005.jpg
case_images: fig5
case_images: There were also increased numbers of macrophages with active haemophagocytosis (Figure 5).