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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.
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6 comments:
Giardia intestinalis cysts! Also, that squamous epithelial cell looks a little suspicious - maybe a koilocyte? Does this patient have condyloma acuminata? It also has an interesting inclusion...hmmm.
I agree with the Giardia.
Giardia Lamblia cysts.
MMLNE
I see the small blue cysts of Giardia lamblia.
Can the big pink thing be a liver fluke ?
Cute bugs.
Squame is koilocytic with binucleate and perinuclear halo but would probably leave as ASCUS rather than LSIL unless more and better although is really a distinction without meaning but seems to stir less anxiety.
These anal Paps were a great idea 10 yrs ago but incidence of anal sq cancer in the MSM/HIV crowd seems to have gone way done so not sure is worthwhile now.
Very cool - some cytotech had his/her mind open to see this. Squame is koilocytic and if a few more probably would call LSIL; if just this leave as ASCUS not that there is much/any management difference. Anal Paps in the HIV population were a great idea 10-15 years ago but I'm not sure they're worthwhile now that the incidence of ca seems way down with HAART.
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