Identification?
Monday, April 23, 2018
Case of the Week 491
This week's case is courtesy of Dr. Delgado and the Yale Pathology department. The patient is young adult male with extensive travel throughout Europe, Central America and Africa, who presented fever, drenching night sweats, extreme fatigue, cervical lymphadenopathy and splenomegaly. CBC showed pancytopenia. The following are from the H&E-stained bone marrow biopsy and Giemsa-stained aspirate.
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Visceral leishmaniasis. Mononuclear phagocytes pictured contain amastigotes of L. donovani or L. infantum/chagasi.
Leishmania amastigotes
Sheesh! This guy has Leish! Maybe from sandflies at the beach? PCR should be within reach, in case there is a call for Pentostam to release!
Visceral leishmaniasis. Intracellular amastigotes are seen. Possibly L. infantum?
Luis
Leishmania so. amastigotes.Beautiful case.
Florida Fan
Visceral leishmaniasis (Leishmania donovani, L. infantum, L. chagasi and L. tropica)
Visceral leishmaniasis 😉
Leishmania sp. Amastigote. kinetoplasts clearly visible.
Visceral leishmaniasis .... beautiful pics
On third reading we may speculate that we can take Blaine out of the poet, yet we may not take the poet out of Blaine.
Florida Fan
Florida Fan - :D You just made my day!
It was really so beautiful.
This post is absolutely brilliant! Thank you so much for sharing!
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