A woman in labor is bleeding, has a very high fever, and is in danger of losing the fetus. Laboratory results include a platelet count of 15 x 109/L (normal platelet count = 150 - 450 x 109/L), prolonged PT and aPTT, decreased fibrinogen, and increased D-dimer. Her automated blood count flagged for blood smear review, and the cells indicated by the arrows were seen on her peripheral smear along with a decrease in the number of platelets present. What condition is suggested by these results?
