Hematology

Giant Proerythroblasts in Parvovirus B19 Infection

Morphological changes in bone marrow during parvovirus B19 infection: rare giant quadrinucleated proerythroblasts with viral inclusions in the nucleus.

Bone marrow smear: giant multinucleated proerythroblast with viral inclusion
Bone marrow smear: giant multinucleated proerythroblast with viral inclusion

🔬 Bone marrow aspirate smear from a patient with parvovirus B-19 infection, demonstrating an extremely rare finding — quadrinucleated giant proerythroblasts with nuclear inclusions (short arrow) and cytoplasmic protrusions — so-called “ears” (long arrow); Wright-Giemsa stain

Source: imagebank hematology. Author: Anurag Singh, MD; Ram Nawal Rao, MD