Diagnostic Findings [Last Modified: ]
Amebiasis
[Entamoeba histolytica]

Causal Agent Life Cycle Geographic Distribution Clinical Features Laboratory Diagnosis Treatment

Microscopy (page 3 of 3)

Nonpathogenic amebas* (2)

E. nana trophozoite line drawing E. nana trophozoite
A B

A, B: Endolimax nana trophozoites.  The trophozoites each have one nucleus with a characteristically large, irregularly shaped, blot-like karyosome (line drawing, A; trichrome stain, B).  Their nucleus has no peripheral chromatin.  Their cytoplasm is granular and vacuolated.  The trophozoites measure usually 8 to 10 µm (range 6 to 12 µm).

E. nana cyst line drawing E. nana cyst E. nana cyst
C D E

C, D, E: Endolimax nana cysts.  The cysts when mature have 4 nuclei with large, blot-like karyosomes (line drawing, C; wet mount in iodine, D; trichrome stain, E).  The cysts of E. nana do not have chromatoid bodies.  The cysts measure 6 to 8 µm (range 5 to 10 µm).

I. buetschlii trophozoite line drawing I. buetschlii trophozoite I. buetschlii trophozoite
F G H

F, G, H: Iodamoeba buetschlii trophozoites.  The trophozoites (line drawing, F; trichrome stain, G; iron hematoxylin stain, H) each have one nucleus with a large, usually central karyosome surrounded by refractile, achromatic granules.  Their cytoplasm is coarsely granular, vacuolated and can contain bacteria, yeasts or other materials.  The trophozoites measure usually 12 to 15 µm (range 8 to 20 µm).

I. buetschlii cyst line drawing I. buetschlii cyst
I J

I, J: Iodamoeba buetschlii cysts.  The cyst (line drawing, I; trichrome stain, J) have only one nucleus with a large, usually eccentric karyosome.  They do not have chromatoid bodies but have a compact, well defined glycogen mass.  The cysts measure usually 10 to 12 µm (range 5 to 20 µm) and their shape varies from ovoidal to rounded.

E. polecki trophozoite line drawing E. polecki trophozoite E. polecki trophozoite
K L M

K, L, M: Entamoeba polecki trophozoites.  The trophozoites (line drawing, K; trichrome stain, L and M ) each have one nucleus that usually has small, discrete karyosomal chromatin and evenly distributed peripheral chromatin.  Their cytoplasm is coarsely granular, vacuolated and can contain bacteria and yeasts (M).  The trophozoites measure usually 15 to 20 µm (range 10 to 25 µm).

E. polecki cyst line drawing E. polecki cyst E. polecki cyst
N O P

N, O, P: Entamoeba polecki cysts.  The cysts (line drawing, N; trichrome stain, O and P) have one nucleus (rarely two, P) with a small, usually eccentric karyosome (which can also be rather pleomorphic).  Their cytoplasm contains small inclusions and an "inclusion mass", which stains only weakly in iodine.  The cysts measure usually 11 to 15 µm (range 9 to 18 µm) and their shape varies from spherical to oval.

*The pathogenicity of Entamoeba polecki is currently unclear.  Further studies are necessary in order to satisfactorily resolve whether E. polecki should be considered a pathogen or commensal.

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