Liver failure with green neutrophilic inclusions after liver transplantation: a case report
10.3760/cma.j.cn114452-20220913-00528
- VernacularTitle:肝移植后肝功能衰竭伴中性粒细胞内绿色小体1例
- Author:
Wenjia TANG
1
;
Jianfeng ZHU
;
Beili WANG
;
Baishen PAN
;
Wei GUO
Author Information
1. 复旦大学附属中山医院检验科，上海200032
- Keywords:
Liver failure;
Neutrophil;
Morphology;
Green inclusions
- From:
Chinese Journal of Laboratory Medicine
2023;46(7):738-740
- CountryChina
- Language:Chinese
-
Abstract:
We report a case of a 44-year-old female patient with acute liver failure and hepatic encephalopathy. The patient received artificial liver treatment and underwent allogeneic orthotopic liver transplantation at 14 days after admission. Laboratory examination reported a small number of green cytoplasmic inclusions in neutrophils on the peripheral blood smear at 68 days after admission. The patient eventually died of liver failure at 71 days after admission. Green inclusions are bright green or blue-green inclusions presented in the cytoplasm of neutrophils in Wright-Giemsa stained peripheral blood smears, and is associated with liver failure and high short-term mortality.
