Monday, July 29, 2024

Case of the Week 753

This week's interesting case was donated by Dr. Hugh Mortan and Jodie Smith. They noted the following object in a Gram-stained bronchial lavage specimen. What is your diagnosis?





5 comments:

Florida Fan said...

I believe that I found the answer. The pictures were puzzling to me, yet I searched the Internet for anything resembling the object, I believe they are Curschmann’s mucus coils, they’re found in BAL fluids of patients suffering from asthma, smokers producing abundance of mucus.
Florida Fan

Anonymous said...

Not a “parasite” I recognize…?

CA guessing said...

Yes is Curshmann's spiral - many a microscopist has gone down rabbit holes trying to figure out what these things are. Probably a microbiology tech found this and asked a pathologist what it was so the only question remaining is did the MD know the answer or have to share around to finally figure out?

Anonymous said...

Mucus cast? Not a parasite anyway.
/Patrik

Florida Fan said...

Actually when I was practicing, I used to say to my coworkers:”No head, no tail, no entrails, most likely no parasite”. This could be applicable to this case.
Florida Fan