Sunday, November 13, 2011

Answer to Case 184

Answer: Probable Strongyloides stercoralis larvae

Higher magnification would be needed to confirm the characteristic features of S. stercoralis filariform larvae (the stage that migrates to the lung during autoinfection). However, the overall appearance and clinical presentation is most consistent with strongyloidiasis hyperinfection.

To answer my question about the last photo - this does not represent a parasite, but might represent a fiber with proteinaceous debris. I was curious to see what others had to say, but no one commented.

Thanks to everyone for writing in!

1 comment:

Anonymous said...

S. Stercoralis filariform larvae's esophagus:intestine ratio is 1:1. On the pictures, we clearly see esophagus being around 3 times shorter than the intestine. Plus, S. Stercoralis filariform larvae has notched tail. on pics, it's strait. I think the worm on the pictures is Hookworm larvae, not Strongyloides.