| Summary points: | A 53-year-old male presents with pancytopenia, high grade fever for 12 days, and a 3-week history of severe general fatigue. Laboratory tests, bone marrow examination, and computed tomography are described, images provided. The authors discuss treatment strategies, including hematopoietic stem cell transplantation at an early stage, in a rare case of pure erythroid leukaemia complicated with haemophagocytosis. |