This week's case was generously donated by Dr. Jacob Rattin. The following objects were seen from Wright-stained thin blood films taken from a middle-aged woman with unexplained fevers. What is your diagnosis?
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Please note that all opinions expressed here are mine and not my employer. Information provided is for educational purposes only. It is not intended as and does not substitute for medical advice. I do not accept medical consults from patients.
The Fine Print:
Please note that all opinions expressed here are mine and not my employer. Information provided is for educational purposes only. It is not intended as and does not substitute for medical advice. I do not accept medical consults from patients.
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8 comments:
I see blood platelets on erythrocytes… no parasites…
If her travel history or anamneses would point to the possibility of recurrent fever borreliosis, I would recommend collecting blood on a peak of fever - you might find spirochetes in that case.
No rings, no dots, no parasite!
The objects are not clearly defined morophologically to blood parasites. The dots are not dense and dark like Howell- Jolly bodies either. Could they be platelets remnants as expressed by Idzi? That’s a good possibility. Certainly what Parisians would call “trompe l’oeil” or fool the eye.
Florida Fan
Don't see any white blood cells in any of those slides.
Not parasites
No parasites seen. /Patrik
No parasites but no white blood cells neither, on the blood smear. It is advisable to do a blood count in order to explain the fever as well as to explore and find out the cause of leukopenia or leukemia, two health problems which can be associated with fever.
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