A patient presented in the Emergency and Trauma Department with intense chills and shivering and he also had a fever. This is followed by a period of elevated temperature, headaches, and vomiting. The physician suspected that the patient is infected with malaria, so he ordered a peripheral blood smear (PBS) for malarial parasites. In the laboratory, one of the staff on duty noticed that the PBS shows a maltese-cross appearance in the red blood cells. The other staff on duty disagreed and said that it is not a maltese-cross appearance.   A. Is there a discrepancy in the reading of the peripheral blood smear? Why? B. What is the possible diagnosis of the patient and why? C. As a medical technologist, how will you handle this situation? D. What are the additional tests you will recommend to confirm the diagnosis?

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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A patient presented in the Emergency and Trauma Department with intense chills and shivering and he also had a fever. This is followed by a period of elevated temperature, headaches, and vomiting. The physician suspected that the patient is infected with malaria, so he ordered a peripheral blood smear (PBS) for malarial parasites.

In the laboratory, one of the staff on duty noticed that the PBS shows a maltese-cross appearance in the red blood cells. The other staff on duty disagreed and said that it is not a maltese-cross appearance.

 

A. Is there a discrepancy in the reading of the peripheral blood smear? Why?

B. What is the possible diagnosis of the patient and why?

C. As a medical technologist, how will you handle this situation?

D. What are the additional tests you will recommend to confirm the diagnosis?

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