LAUSR

We report a case of corona virus disease 2019 (COVID-19) positive 58-year female patient who presented with complaints of fever and cough for the past 3 days. She was a known case of Diabetics mellitus and hypertension for 3 years. She then underwent COVID-19 testing by RT-PCR method and was positive. Complete hemogram sample was also collected simultaneously to look for viral changes. Her hemoglobin was 9.1g/dL, platelet count of 327£ 10/mL and total leucocyte counts of 14,500/mm3, Differential counts revealedneutrophil 85%, lymphocyte 07%, monocyte 05%, eosinophil 00%, basophil 00%, band form 01% & myelocyte 02%. Peripheral smear revealed the normochromic normocytic blood picture with mild shift to left. There were morphological alterations in leucocytic lineagesNeutrophils showing the features of nuclear hypo segmentation, ring shape, club shape, "U" shape, fetal like, hypo granulation, satellitism. (Figure 1a-l). Lymphocytes showing cytoplasmic pods, vacuolations, nuclear blebbing, outpouchings, increased granulation in large lymphocytes (Figure 2a-l). Monocytes having abundant cytoplasm with granulations,