case_images: PMC7441452_01
case_images: Peripheral blood smear showing microcytic, slightly hypochromic anemia with anisocytosis and polychromasia, thrombocytopenia, and slight leukocytosis. Teardrop cells, reticulocytes, and small spherocytes are present. No overt schistocytes, fragmentation of red blood cells, overt dysplasia, or presence of blasts noted.
case_images: CRIOG2020-8862545.001.jpg
case_images: PMC7441452_01_CRIOG2020-8862545.001.jpg
case_images: fig1
case_images: Peripheral blood smear (Figure 1) revealed microcytic anemia with anisocytosis, polychromasia, and thrombocytopenia.
case_images: Platelet and hemoglobin values over time. Times of therapy noted by colored arrows. Initial course of steroids with good response, however subsequent decline in platelet count, requiring further treatment with additional steroids, IVIG, and rituximab. Abbreviations: IVIG: intravenous immunoglobulin.
case_images: CRIOG2020-8862545.002.jpg
case_images: PMC7441452_01_CRIOG2020-8862545.002.jpg
case_images: fig2
case_images: She was treated with oral dexamethasone, 40 mg daily for 4 days, with a subsequent rise in platelets to 55 K/muL (Figure 2).
case_images: Computed tomography of the chest demonstrating diffuse ground-glass opacities (a) throughout both lungs, which can be seen with COVID-19 pneumonia. Acute pulmonary emboli (b) identified in segmental branches of lingula and left inferior lobar pulmonary artery extending into segmental branches of left lower lobe, with filling defect noted by red arrow.
case_images: CRIOG2020-8862545.003.jpg
case_images: PMC7441452_01_CRIOG2020-8862545.003.jpg
case_images: fig3
case_images: Imaging revealed ground-glass opacities and an acute pulmonary embolism (Figure 3).