27 y male refd by physician for tests,CBC and peripheral smear show this result

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Marked Leukocytosis.Lymphocytosis.Mild Thrombocytopenia.No anaemia.Lymphocytes are Atypical.S/O : Lymphoid Leukemoid Reaction. P/O : *Viral Infection(?Dengue Fever). *?Remote possibility of LPD/NHL spill over. Advised ELISA,BMA, BMBx,FCM & IHC.

Lymphocytic leucocytosis Atypical lymphocytes seen, Mild thrombocytopenia ? Dengue, Do testing for dengue If negative , advised bone marrow & flow cytometry. Clinical corelation needed

Lymphocytic Leucocytosis with atypical lymphocytes - Mild Thrombocytopenia ( given) ? Dengue Fever Otherwise, Lymphoma proliferative disorder- ?NHL - BM Study, Flow cytometry and IHC for needful

SUGGESTIVE OF.... ATYPICAL. LYMPHOCYTE..... . WITH. MILD. THROMBOCYTOPENIA... ...IS. CONSIDERED. AS.... .... .A. STRONG. PREDICTOR. OF. ... ......SEVERE. DENGUE... SO... POSSIBLY..... SEVERE. DENGUE... DD LYMPHOMA

Lymphocytic leucocytosis Atypical lymphocytes seen Mild thrombocytopenia ?Dengue

Lymphocytic leucocytosis Atypical lymphocytes seen Lymphoproliferative disorder ? Lymphoma ( NHL ) D/d rull out Dengue Further evaluare with BMA, FLOW CYTOMETRY

Dengue fever

Lypmphocytic leucocytosis Lymohoma Severe dengue Investigation

Agree with Dr kujur

Thank you Sir..
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Lymphocytes are looking atypical.Neoplastic proliferation to rule out.suggest BMA and FNAC if enlarges lymphomas is there

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