Solve this exciting clinical case, specific to your field of interest via Docplexus’ Clinical Case Challenge. Join your fellow doctors to discuss and answer today’s challenge. Case presentation A premature infant born to a multiparous mother, showed persistent anemia post-delivery, and other prematurity associated comorbidities. Patient history During pregnancy, the infant’s mother required multiple percutaneous umbilical blood sampling (PUBS) due to fetal anemia. Immune-mediated causes for the fetal anemia were found negative.
During one of the PUBS procedures, the fetus showed cardiac deceleration, and hence a C-section was carried out. Hematological examination Peripheral blood smear showed non-specific anisopoikilocytosis and mild monocytosis. Bone marrow biopsy appeared to be normocellular with tri-lineage hematopoiesis. Bone marrow aspirate smear showed widespread erythroid…