Hemophagocytosis: Bone Marrow Biopsy of Patient With Hepatitis C and Acute EBV Infection - 1.

Hemophagocytosis: Bone Marrow Biopsy of Patient With Hepatitis C and Acute EBV Infection - 1.
#00003224
Author: Jon Fukumoto
Category: Laboratory Hematology > Basic cell morphology > Morphologic variants of white blood cells
Published Date: 07/01/2006

Hemophagocytosis. This is bone marrow (hematoxylin and eosin stain) from a 49-year-old male with hepatitis C, who presented with fever of unknown origin and multi-organ failure. Bone marrow biopsy revealed hypercellularity with diffuse histiocytic infiltrate and hemophagocytosis. Clusters of lymphocytes in the bone marrow were positive for Epstein-Barr virus (EBV) by in situ hybridization, and peripheral blood was positive for EBV by polymerase chain reaction (PCR). This image shows two macrophages which have phagocytosed numerous erythrocytes.