Identification? What is your differential diagnosis for this morphologic appearance?
Monday, February 3, 2014
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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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5 comments:
P.falciparum
RBC not enlarged, multiple infections in one cell, some rings are binucleated, no Schüffner's dots, parasites in leukocytes... looks like Pl. falciparum.
Agree with the diagnoses above, P. falciparum.
Florida Fan
You see more then one stage , the larger cells with malaria pigment look like schizonts to me, which indicate severe disease.
The peripheral bloodstream may be clotted with parasites.
Urgent treatment is needed !
Thin film showing different stages of Plasmodium falciparum. Two normal sized RBCs infected by young trophozoites ( ring form). No Maure's dots. Unusual appearance of a schizont with several nuclei and pigment eccentrically located. P. falciparum schizont are rarely seen in the peripheral blood and their presence may indicate a potentially severe malaria
Marco Ligozzi
Dip patology and diagnostic University of Verona Italy
marco.ligozzi@univr.it
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