22nd May 2023

A 27-year-old lady has been admitted to the acute medical unit

A 27-year-old lady has been admitted to the acute medical unit with headache, photophobia, and fevers. A lumbar puncture has been performed and the CSF has grown Neisseria meningitidis. She has a background history of coeliac disease, although has been compliant with a gluten-free diet since diagnosis 7 years ago. She has no other past medical history and is not on any regular medication. She drinks 2 glasses of wine a week and does not smoke.

What is the most likely finding on blood film for this patient?