Chronic diarrhea
associated with protozoan parasites is a common feature observed in immunocompromised
patients; two common parasites detected in these patients are Cryptosporidium
sp. and microsporidia. Your laboratory has been designated
as the facility to screen patients from several local hospitals for these
two parasites. Which of the following laboratory protocols would you
choose to accomplish this task most efficiently?
(a) Collect specimens in 10%
formalin and PVA fixative; perform a trichrome stain and FEA (formalin-ethyl acetate
concentration) in the formalin fixed sample; examine the trichrome slide and
wet mount slide made from the concentrated sample.
(b) Collect specimens in 10%
formalin and PVA fixative; perform a trichrome stain,
FEA, and then a modified Kinyoun's acid-fast stain; examine the trichrome slide and acid-fast
slide made from the FEA concentration sample.
(c) Collect specimens in 10%
formalin; perform a FEA, modified Kinyoun's acid-fast stain, and chromotrope 2R (Weber) stain; examine the acid-fast slide and the chromotrope 2R slide.
(d) Collect specimens in PVA fixative; perform a
modified Kinyoun's acid-fast stain and chromotrope 2R (Weber) stain; examine the acid-fast slide and the chromotrope 2R slide.
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