This week we have a special guest author, Hadel Go, a medical student (Class of 2024) who is greatly interested in parasitology. I'm very excited that Hadel will be our first ever guest author! The following is our case that she will be teaching us about later this week.
The patient is a young man from Madagascar who presented with a 1-week history of chest pain, night sweats, and fever. Chest X-ray showed a right upper lobe peripheral cavitary lesion. Work up for tuberculosis including AFB stained smears of sputum and sputum PCR using the Xpert MTB/RIF assay were negative. Therefore, a wedge resection of the abscess was performed and revealed the following (H&E stain, 400x original magnification):
7 comments:
Pulmonary schistosomiasis secondary to S. mansoni
A beautiful picture of a viable Schistosoma mansoni egg.
Schistosomiasis is still a huge public health issue in Madagascar…
For sure only one parasite has a lateral sub terminal spine S. mansoni.
Florida Fan
S.mansoni egg
Yep, Schistosoma mansoni egg.
Welcome aboard, Hadel! We look forward to your discussion.
Hmmm! If the egg got into the lung, where is mama and what havoc is she causing?
Good point! Where are mommy and daddy, because schistosomes travel as couples (for life), and they can live for up to 40y even!
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