Monday, April 23, 2012

Case of the Week 205

Happy Lab Week to Parasitologists everywhere!

The following peripheral blood film is from an asplenic individual with a recent history of babesiosis.  How would interpret this film?  Are there any additional stains that would aid in your interpretation? (1000 times original magnification; Giemsa)




4 comments:

Anonymous said...

no babesiosis, you see all kinds of inclusions but no parasite

Anonymous said...

Basophilic stippling, nucleated rbc, Heinz bodies... no babesiosis identified.

Anonymous said...

I meant Howell-Jolly bodies instead of Heinz bodies...

Anonymous said...

Howell-Jolly bodies and Pappenheimer bodies. No babesia seen.Typical of a patient without a spleen. The PCR might still be positive.