Bone Marrow Contamination in CSF, continued

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The page below is a sample from the LabCE course Body Fluid Differential Tutorial. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Bone Marrow Contamination in CSF, continued

In patients with softer bones (e.g., infants and osteopenic patients), it is not uncommon for the contamination to come from bone marrow found inside the softened spinous process that was penetrated inadvertently during the procedure. When this occurs, any or all cell types found within the bone marrow can be present in the cytospin.

The image on this page contains early nucleated RBC and WBC precursors, typical of contamination with bone marrow.