A 17 year old girl presents with 3 weeks of fevers, lethargy, general body aches and palpitations. She was diagnosed with a blood disorder in childhood but is on no regular medications and has no other significant medical issues.
Vitals: T 38.2, PR 138/min
Her blood results show:Hb 87 g/l PCV 0.261 MCHC 333 g/l (320-360) MCV 91
MCH 30.2 Platelets 419 (150-400) WCC 20.7 N 5.4 L 12.6
Retics 16.0 (0.2-2.0)
Bili 47 ALP 89 U/L GGT 62 U/L ALT 336 U/L Albumin 41 TP 74
Na 136 K 4.1 Cl 106 HCO3 23 Urea 3.0 Creat 53
LDH 548 (120-250) Bili (conjugated) 22 umol/l (<8)
Describe and interpret the blood results, including case, cause, complications