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:

  1. 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

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  2. Not a “parasite” I recognize…?

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  3. 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?

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  4. Mucus cast? Not a parasite anyway.
    /Patrik

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  5. 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

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