Monday, June 27, 2011

Case of the Week 166

The following small intestinal biopsy was taken from an elderly woman with cough, abdominal pain, and diarrhea. She reports no travel history outside of the United States, and has lived in the southeastern U.S. most of her life. Diagnosis?

(CLICK ON IMAGES TO ENLARGE)
Hematoxylin and Eosin, 40 times original magnification

Hematoxylin and Eosin, 100 times original magnification


Hematoxylin and Eosin, 200 times original magnification


Hematoxylin and Eosin, 400 times original magnification
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6 comments:

  1. AnonymousJune 27, 2011 at 2:04 PM

    Strongyloides stercoralis larvae

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  2. AnonymousJune 27, 2011 at 8:39 PM

    Strongyloides - cough suggest pulmonary involvement, SW United states is also a clue. Should probably screen her for HIV and possibly HTLV-1 infection...

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  3. AnonymousJune 27, 2011 at 8:41 PM

    Oops SE United states I meant...

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  4. AnonymousJune 28, 2011 at 8:58 AM

    strongy :o)
    -Jacque

    ReplyDelete
  5. MicrobeManJune 29, 2011 at 1:35 PM

    I'm going with S. stercoralis as well.

    ReplyDelete
  6. Neuro_NurseJune 29, 2011 at 3:27 PM

    Be careful with that corticosteroid, Eugene

    ReplyDelete