Sunday, April 24, 2011

Case of the Week 158

Please join me in recognizing World Malaria Day.

According to the World Health Organization (WHO) :

World Malaria Day is a day for recognizing the global effort to provide effective control of malaria. It is an opportunity:
- for countries in the affected regions to learn from each other's experiences and support each other's efforts;
- for new donors to join a global partnership against malaria;
- for research and academic institutions to flag their scientific advances to both experts and general public; and
- for international partners, companies and foundations to showcase their efforts and reflect on how to scale up what has worked.


I've chosen to recognize World Malaria Day with the following case:
The following are Giemsa-stained thin blood films from a 5 year boy living in Gambia (1000x times original magnification). (CLICK ON IMAGES TO ENLARGE)






Identification?

7 comments:

Anonymous said...

What a scary P falciparum.

Anonymous said...

Rings galore, cells with multiple infections, applique forms, double chromatin dots - classic P. falciparum.

PV from VT

Anonymous said...

What a cool slide - isn't it wonderful how the more interesting a pathologist finds a case the more lethal it is. By chance I was reading about severe malaria from the western perspective today -- http://www.medscape.org/viewarticle/741104_3 as a survey of French cases. In a Bay Area hospital I've seen maybe 2 like this and 1 had been on anti-tnf & the other HIV. More commonly malaria has been less severe and usually an expat visiting relatives in Africa without prophylaxis.

neuro_nurse said...

P. falciparum. It nearly killed me the second time I had it.

Luke Roberts said...

obviously Plasmodium, the ring stages are there - everyone says P. falciparum so I can guess this is correct - but can anyone give me a brief run though of how to differentiate between the 5 human species on a blood film? thanks, LR

Anonymous said...

Plasmodium ovale

Fresh Garden said...

That's informative!
Thanks for sharing, I enjoyed the visit. :)