Blue-green neutrophilic inclusion bodies with concurrent liver failure as a predictor of imminent death

Abstract

Blue-green, birefractory, poorly-defined, cytoplasmic inclusions in some types of leukocytes are an underdiagnosed finding, which composition and clinical significance is not well understood. Inclusions are only found on peripheral blood smear (PBS).

Keywords

• green crystals of death
• lactic acidosis
• severe liver disease