Quarterly Case:Inclusions in Bone Marrow Cells

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Abstract
A 39-year-old male was admitted to Rikshospitalet, Oslo, Norway, with a 1-week history of fever, bleeding from the gingiva, and ecchymoses. His hemoglobin was 11.5 g/100 ml, leukocytes 3600/μl, and platelets 30,000/μl. The bone marrow aspirate clotted in little more than 5 s, which called for really fast working when making smears. He was bleeding easily from puncture wounds and a sandbag was placed on his chest for 2 h after the sternal puncture. The fibrinogen was only 50 mg/100 ml and the thrombin time was 27 s (normal control 20 s); there was a high concentration of fibrinogen degradation products (Wellco-test positive 1:20), indicating uncompensated disseminated intravascular coagulation.