Pneumococcal bacteremia with Howell-Jolly bodies on peripheral blood smear in a patient with overwhelming sepsis

Le résumé fourni par la source

An 82-year-old male with no history of vaccination against encapsulated bacteria, including Streptococcus pneumoniae, presented to the emergency department with fever and dyspnea lasting one day. Physical examination revealed extensive purpura covering nearly the entire body (Figure 1A), with vital signs indicative of septic shock. A peripheral blood smear stained with May-Grünwald-Giemsa revealed diplococci (Figure 1B, white arrowhead) and a dark blue dot inside erythrocytes, known as Howell-Jolly bodies (Figure 1B, black arrowhead).

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