Hematoxylin and eosin (H&E), 200 times original magnification
H&E, 1000 times original magnification
Based on these findings alone, what is your differential diagnosis?The following object was found in the soil from the backyard where she frequently played.
Unstained, object measures approximately 60 microns in diameter
Diagnosis?
9 comments:
Toxocara sp.
Looks like Visceral Larva Migrans due to Toxocara canis or cati.
She probably lives in the Southern US.
One differential would be a liver invasion of Capillaria hepatica.
Bill
Toxocara cati or canis, causing visceral larva migrans (thus the liver biopsy), in a child who accidentally the egg. Baylisascaris procyonis would be part of the differential however the Baylisascaris egg is larger, and in the biopsies I can't see any lateral alae.....
Ascaris lumbricoides
In opposition to the above mentioned I don´t think that the picture resembles Ascaris lumbricoides, because the outer cover is not undulated and the egg is not round enough.
It is conceivable that the pictured item is not the cause of the lever granuloma.
the egg is relatively small for a Toxocara egg so I would go for Toxocara cati
Toxocara embryonated egg
It's infectious, too
Cool pic, thanks for sharing
Hello, I agree with the Toxocara egg in the last two pictures, but I think that the lever pictures showed another kind of egg, it is more oval than the other egg.
The picture of the liver is the larvae stadium
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