Neutrophil Aggregates in a Young Female With Sepsis

Patient 27-year-old woman. Chief Complaint High-grade fever and generalized rash for 2 days. Physical Exam Findings The patient was febrile and tachypneic with a generalized macular rash. Her pulse was 132/minute and she had a blood pressure of 90/70 mmHg. There was no organomegaly. She was clinically diagnosed to have sepsis due to toxic shock syndrome. Drug History On sodium valproate 500 mg twice a day. Medical History She has epilepsy and is currently on treatment. She had delivered a baby by Caesarian section 4 days earlier. Family History Unremarkable. Principal Laboratory Findings Table 1, Image 1 , and Image 2 . 1. What are this patient’s most striking clinical and laboratory findings? 2. How do you explain these findings? 3. What other clinical conditions have been associated …