Monday, August 12, 2019

Case of the Week 556

This week's case was donated by Dr. Neil Harris and Dr. Stacy Beal. The patient is an infant with a history of tracheobronchomalacia and "eosinophilia" on prior bronchoscopy. A routine complete blood count was negative without evidence of peripheral eosinophilia. The following structures were seen on a Giemsa-stained bronchoalveolar lavage specimen using the 100x objective. They have a diameter of 1-3 micrometers. Identification?



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7 comments:

  1. AnonymousAugust 12, 2019 at 8:42 PM

    The nematodes superficially resembles Dirofilaria sp.
    Florida Fan

    ReplyDelete
  2. AnonymousAugust 12, 2019 at 9:16 PM

    Curschman spirals

    ReplyDelete
  3. AnonymousAugust 13, 2019 at 8:19 AM

    After further examination, I believe Anon is right, there is no organization nor tissue like structure on the object. This leads me to think that the object is more compatible with mucus strands.
    Florida Fan

    ReplyDelete
  4. AnonymousAugust 13, 2019 at 9:17 AM

    Not a parasite.
    Likely a mucous plug, ie. Curschman spiral
    BW in VT

    ReplyDelete
  5. UnknownAugust 14, 2019 at 3:45 AM

    there is no organization nor tissue like structure on the object. It's compatible with mucous plug

    ReplyDelete
  6. Sir GalahadAugust 14, 2019 at 9:30 AM

    Spirali di Curschmann

    ReplyDelete
  7. Bernardino RochaAugust 15, 2019 at 8:56 PM

    Agree with my predecessors. Appears to be a mucus like structure, compatible with curschmann spirals and the clinical case of the child.

    ReplyDelete