The following were seen on Giemsa-stained peripheral blood films from a 2 year old boy with recent travel to Kenya. Images are taken at 1000x magnification. Percent parasitemia was 2.7%.
Identification? What is your differential diagnosis for this morphologic appearance?
P.falciparum
ReplyDeleteRBC not enlarged, multiple infections in one cell, some rings are binucleated, no Schüffner's dots, parasites in leukocytes... looks like Pl. falciparum.
ReplyDeleteAgree with the diagnoses above, P. falciparum.
ReplyDeleteFlorida Fan
You see more then one stage , the larger cells with malaria pigment look like schizonts to me, which indicate severe disease.
ReplyDeleteThe 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
ReplyDeleteMarco Ligozzi
Dip patology and diagnostic University of Verona Italy
marco.ligozzi@univr.it