The appearance of green inclusions in neutrophils and to a lesser degree monocytes is a sign of impending death and this is supported in our study. It was found by Hodgson et al (2015) that these inclusions were lipid-rich, and derived from lipofuscin-like material released from necrotic liver parenchymal cells. In the majority of our patients, acute liver injury was one of the presenting features. These inclusions should be noted and reported by morphologists to alert the treating clinicians of the severity of the patient's condition.