Sunday, March 6, 2022

Case of the Week 675

 This week's case was donated by Dr. Paul Valenstein, and it is a beautiful example of an uncommon finding. It is an eyelid biopsy from a 6-year-old African child.




Diagnosis?


7 comments:

Anonymous said...

The non staining hooklets of the invaginated scolex and the convoluted spiral canal indicated that this is a case of Cysticercus cellulosae. To tell the truth, I got it from the previous cases on the Blog. Thank you Dr. Pritt.
Florida Fan

Briceaut said...

The multiple scoleces that seem to come from a unique germinative layer make me think to a case of coenurosis, due to Taenia serialis or Taenia multiceps.

Idzi P. said...

I agree with coenurosis - probably caused by T. multiceps as it involves the eye, but not excluding T. serialis as skin is involved as well (eyeLID).

Anonymous said...

At first sight I thought it's H nana but then I looked back and this case was from eyelids. Then I thought it could be cysticercosis. But some people on Twitter were saying case of myiasis. So much confusion....

Unknown said...

Hmmm...I was thinking Schistosomiasis in the eye

Anonymous said...

Point well received Briceaut and Idzi.
Florida Fan

Idzi P. said...

Hi Unknown,
Schisto can be ruled out by the fact that we can clearly see hooklets.
Also the abundant presence of calcarous bodies indicates that a cestode is involved here!
Interesting case for sure!