Blue-green inclusions in leukocytes and Covid-19: a case report and review of literature

Abstract

Blue-green cytoplasmic inclusions in neutrophils and/or monocytes are uncommon anomalies observed in peripheral blood smear which were described in few case reports in patients with acute liver injury, lactic acidosis and more recently, in cases of Covid-19. These inclusions are associated with a critical prognosis and death shortly time after identification. Herein, we report a case of blue-green cytoplasmic inclusions finding in neutrophils and monocytes cytoplasm’s in a patient with Covid-19.