Monday, September 18, 2023

Case of the Week 726

This weeks case features the following small, oval-shaped, red-staining objects seen in a bronchoalveolar specimen from an immunocompromised patient. The objects measure approximately 2 micrometers long. The stain is a strong trichrome (chromatrope 2R method). Identification? What is the significance of this finding? (CLICK ON IMAGES TO ENLARGE)





9 comments:

  1. Not a parasite LOL Get those buggers off this page and send them to the Mycology lab. :)

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  2. Following Dr. Couturier’s lead, we may have a “ball”.
    Yet I need more clues before banging my head against the wall.
    They often say “no pain no gain”,
    For me one more week of itch and pain.
    Florida Fan

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  3. First instinct is one of the Microsporidia sp especially given the stain and the patient being immunocompromised.

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  4. Microsporidia.
    Is that round structure a Cryptosporidium?
    I would like to know the protocol for the stain used if possible.

    -HLCM fan

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  5. Yes - now added! The oval-shaped red objects are approximately 2 micrometers long.

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  6. Ah, now I see, size wise more likely Microsporidia.
    Florida Fan

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  7. As a Cryptosporidium

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