Case 97:
A 30-year-old woman traveled to Honduras last year.  She did not take malaria prophylaxis.  Since returning from her trip, she has experienced symptoms that included fever, chills, and headache.  A blood sample was collected, smears were made and stained with Giemsa, and sent to the Tennessee Department of Health Laboratory Services.  Below are images from her blood smears.  What is your diagnosis?  Based on what criteria?

A	B

C	D

Acknowledgement: The case history and images were kindly provided by the Tennessee Department of Health Laboratory Services.

Click here for the answer to Case 97.

Case 98:
A 5-year-old girl developed an earache after vacationing in Belize with her parents.  A few months after returning from the vacation, her parents took her to a New York City hospital for the earache where a biopsy specimen was taken from her left ear.  Her parents reported that she had gone swimming during the trip.  The following images are from H & E (hematoxylin and eosin) stained sections of the biopsy.  What is your diagnosis?  Based on what criteria?

A	B

C	D

Click here for the answer to Case 98.

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.