Table 1 Haematological parameters

Haematocrit (%) Ref 24-46 %

9.9

15.2

19.8

22.8

22.2

22.1

Erythrocyte Count (x10¹²/l) Ref: 5-10x10¹²/l

1.02

1.52

2.24

3.3

3.48

3.8

Haemoglobin (g/dl) Ref: 8-15 g/dl

2.8

4.2

5.9

7.5

7.2

7.2

Mean Corpuscular Volume (fl) Ref: 40-60

96.7

99.9

19.8

69.2

63.7

58

Red Cell Distribution Width (%)

29.9

25.6

22.2

30.8

34.7

38.6

Blood smear

Spherocytes

Inclusion bodies

Spherocytes, acanthocytes and schistocytes.

Spherocytes, acanthocytes and schistocytes.

Basophilic inclusion bodies still observed

Small numbers of acanthocytes schistocytes and keratocytes present. Small number of inclusions still present.

Small numbers of acanthocytes schistocytes and keratocytes present. Small number of inclusions still present.

Occasional small inclusions seen on a very few erythrocytes. Can no longer confirm ongoing bacteraemia from smear examination only.

PCR result

POSITIVE

NEGATIVE

POSITIVE