Diagnosis? (CLICK ON IMAGES TO ENLARGE)
Any thoughts on what the last image represents?
x400 original magnification
x600 original magnification
Many thanks to Dr. Steven Goodman for donating this case!
Monday, November 14, 2011
Case of the Week 184
The following images are from a Papanicolaou-stained bronchoalveolar lavage obtained from a 70 year old man with increasing respiratory distress. His medical history is significant for hemodialysis-dependent end-stage renal disease and vasculitis (treated with cytoxan).
Diagnosis? (CLICK ON IMAGES TO ENLARGE)
Any thoughts on what the last image represents?
x400 original magnification
x600 original magnification
Many thanks to Dr. Steven Goodman for donating this case!
Diagnosis? (CLICK ON IMAGES TO ENLARGE)
Any thoughts on what the last image represents?
x400 original magnification
x600 original magnification
Many thanks to Dr. Steven Goodman for donating this case!
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3 comments:
The first thing that comes to mind for wormy things in the sputum and immunocompromise is Strongyloides; not familiar with what they look like on a Pap stain, though, and only #2 really resembles what I think of as Strongy larvae, while there's insuifficient resolution to see things like the buccal canal and the genital primordium. It's still my guess.
Strongyloides stercoralis
Slide 5 shows the genital primordium.
Roundworm:Strongyloidiasis. The filariform larval stage.
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