International Journal of Clinical & Medical Images

A 60 year old man with the complaint of bone pain was advised bone marrow examination to rule out plasma cell dyscrasia visited the Department of Pathology and Transfusion medicine, Santokba Durlabhji Memorial Hospital, Jaipur, India for Bone marrow aspiration and trephine biopsy. The bone marrow aspiration on MGG stain showed almost all the normal marrow components were replaced by the plasma cells suggestive of plasma cell tumour/ multiple myeloma along with shizonts of plasmodium vivax infecting the Red blood cells. This was a rare and incidental finding on bone marrow examination.