Clinical and Medical Case Reports

Green-blue Inclusions in Leukocytes and COVID-19: A Sign of Looming Death

Abstract

Ghachem Ikbel

Green-blue Cytoplasmic Inclusions (GBI) in neutrophils and/or monocytes is a rare peripheral blood smears anomaly described in few case reports in patients with acute liver injury, lactic acidosis and recently with COVID-19. Referred to as “crystals of death”, these inclusions are associated with a critical prognosis and death shortly time after identification. Herein, we report a case of GBI finding in neutrophils, monocytes, myelocytes and metamyelocytes cytoplasm’s in a patient with COVID-19.