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Case Report
Green neutrophilic inclusions and a novel association with gangrenous ischemic colitis
1 Medical Student, Burrell College of Osteopathic Medicine, Las Cruces, New Mexico, United States
2 Medical Laboratory Technician, Mountainview Regional Medical Center, Las Cruces, New Mexico, United States
Address correspondence to:
Mason Marshall
435 Ithaca Ct. Apt. J5, Las Cruces, New Mexico 88011,
United States
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Article ID: 100041Z11MM2020
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Marshall M, Rios I. Green neutrophilic inclusions and a novel association with gangrenous ischemic colitis. J Case Rep Images Pathol 2020;6:100041Z11MM2020.ABSTRACT
Blue–green refractile neutrophilic inclusions on peripheral smears are a rare and critical finding. Finding of these inclusions has typically been associated with a poor short-term prognosis causing them to be dubbed, “Green crystals of death.” Early reports have suggested a link to acute hepatic failure as the prevailing etiology during which these inclusions appear. Here, we present a case of a 75-year-old male who presented with ischemic colitis in which blue–green neutrophilic inclusions were discovered on peripheral smears. This is the first documented case of ischemic colitis associated with the appearance of green intracytoplasmic inclusions in neutrophils.
Keywords: Green crystals, Ischemic colitis, Neutrophilic inclusions
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Acknowledgments
The authors would like to thank Dr. Sanjay Lahiri for his guidance with the publication process and Randy Aguilera for his assistance with institutional approval.
Author ContributionsMason Marshall - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Isabel Rios - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Mason Marshall et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
