Monthly Case Studies [Last Modified: ]

Case 75
A patient sought treatment for fever, fatigue, and myalgias.  She reported no recent international travel.  Below are images of Giemsa stained blood smears from the patient’s specimen (Figures A, B, C, and D).  What is your diagnosis?  Based on what criteria?

Case 75 Image A Case 75 Image B
 A B

 

Case 75 Image C Case 75 Image D
 C D

Click here for the answer to Case 75.

Case 76
A child with nausea, anorexia, and explosive, watery diarrhea was seen by a physician who ordered an O & P (ova and parasites) stool examination.  Below are images from a wet mount preparation stained with Lugol’s iodine (Figure A) and from a trichrome stained smear of the child’s stool specimen (Figures B, C, and D).  The average size of the objects in the images was 13 µm in length and 8 µm in width.  What is your diagnosis?  Based on what criteria?

Case 76 Image A Case 76 Image B
A B

 

Case 76 Image C Case 76 Image D
C D

Click here for the answer to Case 76.

Images presented in the monthly case studies are from specimens submitted for diagnosis or archiving.  On rare occasions, clinical histories given may be partly fictitious.

 

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