Diagnosis?
Subscribe to:
Post Comments (Atom)
skip to main |
skip to sidebar
A parasitologist's view of the world
Welcome to Parasite Case of the Week
Every week I will post a new Case, along with the answer to the previous case. Please feel free to write in with your answers, comments, and questions. Also check out my image archive website at http://parasitewonders.com. Enjoy!
The Fine Print:
Please note that all opinions expressed here are mine and not my employer. Information provided is for educational purposes only. It is not intended as and does not substitute for medical advice. I do not accept medical consults from patients.
The Fine Print:
Please note that all opinions expressed here are mine and not my employer. Information provided is for educational purposes only. It is not intended as and does not substitute for medical advice. I do not accept medical consults from patients.
About Me
Top 50 Pathology Blog
7 comments:
this looks most, at this resolution anyhow, like a case of babesiosis, due to the high degree of plieomorphism of the parasites. Could there be falciparum or another form of malaria as well? I'd like more history -- how recent was his international travel -- and to be able to examine more fields at higher-power as well; I can;t really distinguish a second populatoion but this is the sort of patient I'd send for a PCR and antigen test if available.
interesting.... a P. falciparum infection with that high a parasitemia surely he would have presented much much earlier than 'in the past year' after returning from Africa/Asia?
Plus these trophozoites are irregular in shape (double plus you'll be lucky to see some in the peripheral blood if its P.f).
The South/Mid West is a common homeplace for Babesia right? I'll plug for that based on blood smear.
I agree with Babesia sp.
Babesiosis
I don't think that P. falciparum is ruled out. I think I see applique forms...although I do see a "doublet". With this degree of parasitemia he would be very sick if it were P. falciparum. Ambivalent in VT.
Babesia and very small rings
What was the parasitemia %?
To answer Salbrent's comment, the percent parasitemia was 40! Not that surprising, considering that this patient did not have a spleen.
Post a Comment