Curr Health Sci J, vol. 47, no. 1, 2021

“The Janus Face” of Thrombocytes in COVID-19

[Case Report]

S.Singh(1), A.R. Singh(1), B.K. Pathak(1), S.S. Mohakuda(1), T. Tilak(1)

(1)Department of Internal Medicine, Armed Forces Medical College, Pune, India


A 55 year old patient of COVID-19, with no known comorbidities presented with fever, myalgia and headache and at presentation had leukopenia and thrombocytopenia, however did not have any bleeding manifestations. The patient’s inflammatory markers including ferritin and C-reactive protein were elevated at admission. Later in the course of illness went on to develop severe thrombocytosis and leukocytosis. We discuss the course and outcome of illness in an unusual case of COVID-19 with severe and diametrically opposite haematological abnormalities.

COVID-19, SARS-CoV-2, Thrombocytosis, Thrombocytopenia, Platelets, Hematology

Basant Kumar Pathak, Department of Internal Medicine, Armed Forces Medical College, Pune, India, e-mail:

DOI 10.12865/CHSJ.47.01.23 - Download PDF