Has anyone else ever noted these?  These crystals appear with Wright-Giemsa stain as greenish aggregates in neutrophils.  They are often associated with severe necotizing liver disease.  Here is one reference but there are others on the net:

https://www.ascls.org/communication/ascls-today/320-ascls-today-volume-32-number-4/431-a-case-of-blue-green-neutrophil-inclusions

In the articles I've looked at, they may only appear in 1-2% of cases, so they are easy to miss.  There are a few good images on the internet if you look for them.  I was wondering if anyone else who is aware of these things, routinely reports them if they are noted.

Thanks, Scott 

I've heard about them, and we think we may have seen them, but not reported. Curious what people would report them as. I would think that reporting "rare green crystals of death" might be a little disconcerting to the physician!

We have seen these in a number of very 'sick' patients  - most recent case in a Gram Neg sepsis with DIC & 'bugs' in neutrophils!

We do report with following comment - Neutrophils show green inclusions-indicates severe toxic state (& we would alert clinician).