This week's case was donated by Dr. Blake Cirks. The following object was passed per rectum by an otherwise asymptomatic individual living in Laos. Based on the image and video, what is the most likely diagnosis?
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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!
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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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4 comments:
Fasciolopsis buski adult?
looks like an intestinal fluke or may be proglottis?
Yes, general morphology favors an intestinal fluke as we cannot see the proglotids typical of tapeworms. Speaking of a fluke from Laos, I don’t see the romantic pairs of Schistosoma mekongi. Using the width of the two fingers say 12 mm each the length of the fluke would be about 25 mm, it seems to agree with Fasciolopsis buski. Too bad we cannot express the eggs nor do a dissection for definite identification.
Florida Fan
Motile gravid proglottide of Taenia saginata (proglottids up to 20x7mm) or maybe T.asiatica though they are not so long.
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