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A previously healthy 48-year-old man was admitted for severe burns involving his face, thorax, and upper and lower limbs (45 percent of body-surface area) associated with an inhalation injury. The hemoglobin level was 12.3 g per deciliter, the hematocrit 37 percent, the mean corpuscular volume 93 µm3, the red-cell–distribution width 15.8 percent, and the white-cell count 7400 per cubic millimeter. The platelet count was 274,000 per cubic millimeter when measured with the use of an automated system. Because staining of a peripheral-blood smear with May–Grünwald–Giemsa showed numerous spherocytes (arrowheads) and microspherocytes (arrows) resulting from heat-induced damage to red-cell membranes, . . . [Full Text of this Article] |
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