Massive intravascular hemolysis with organ failure due to Clostridium perfringens: evidence of intracytoplasmic C. perfringens

![Figure][1] A 66-year-old diabetic man presented with breathlessness, vomiting, and fever. His initial blood count demonstrated hemoglobin 135 g/L (130-175), platelets 155 × 109/L (150-400), and white blood cells 18.3 × 109/L (4-11). His hemoglobin fell rapidly over 6 hours to 44 g/L,