Conclusion
This case represents hemorrhagic shock with severe leukemoid reaction.
Besides the demargination of neutrophils, hypoxia and stress hormones
might have stimulated the bone marrow to produce substances with
colony-stimulating activity, leading to a multifactorial leukemoid
reaction. Recognition of this hematological condition in the context of
hemorrhagic shock might help decrease unnecessary testing and expose
patients to antibiotic therapy.