This week's case was generously donated by Dr. Manohar Mutnal. The following were seen in a peripheral blood smear from a patient with an unknown travel history. What is your differential diagnosis? What additional information would you like?
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Every week I will post a new Case, along with the answer to the previous case. Please feel free to write in with your answers, comments, and questions. Also check out my image archive website at http://parasitewonders.com. Enjoy!
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.
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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2 comments:
Trypanosoma brucei. I don't think we can tell the subspp apart.
This is definitely a case of trypanosomiasis. The flagellate doesn’t show a prominent kinetoplast nor assumes a C shape in general. This rule out Chaga’s disease caused by T. cruzi. We have Trypanosoma brucei, yet morphology alone doesn’t warrant a differential diagnosis of subspecies gambiense nor rhodesienne.
Florida Fan
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