Red cell fragments can mask severe thrombocytopenia

![Figure][1] A 37-year-old man who had recently been treated for malaria while in Kenya presented with ongoing fevers and malaise as well as new headaches and hematuria. A complete blood count showed hemoglobin of 73 g/L, white blood count of 14.7 × 109/L, and platelets 266 × 109/L. There