KROK 1 2018 – Question 102 · KROK (Medicine) · Pathophysiology

A woman has come to the hospital with complaints of general weakness, dizziness, and dyspnea. Recently she has been taking levomycetin (chloramphenicol) for prevention of enteric infection. Blood test: erythrocytes - 1.9 · 10¹²/L, hemoglobin - 58 g/L, color index - 0.9, leukocytes - 2.2 G/L, reticulocytes - 0.3%. What type of anemia is it indicative of?

  1. A. Hemolytic
  2. B. Hypoplastic
  3. C. Iron-deficiency
  4. D. Metaplastic
  5. E. Aplastic
Hint

Consider what chloramphenicol does to the bone marrow, and what the very low reticulocyte count and low leukocyte count say about the marrow's response.

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