These week's case was generously donated by Dr. Linoj Samuel. The following objects were seen in the sputum from a renal transplant recipient. He had presented with pneumonia and Klebsiella sp. bacteremia.
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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9 comments:
Strongyloides
The source is a sputum suggests a Strongyloides stercoralis infection. The first picture from a Gram stain shows a short stumpy rhabditiform or L1 larva with its genitalia primordium. Second picture on show its filariform stage. The third picture shows its notched tail. The last picture shows a short bucal cavity.
Right or wrong I’m still a loyal fan of this Blog.
Strongyloides- curved, pointed tail is a big clue
Strongyloides spp, we can indeed see the genital primordium so it's most likely an L1 larva.
Classic filariform larva of Stronyloides in the setting of probable Strongyloides hyperinfection - classically complicated by enteric bacterial secondary infections such as blood stream infection or meningitis.
Strongyloides. Easy question, because I'm not familiar with the other opportunities :)))) We had two patients with hypereosinophilia. Both treated with aerosols against asthma.
Strongyloides sp. larvae, probable hyperinfection syndrome given the immune suppression from the transplant and gram negative rod bacteremia.
Looks like Strongyloides stercoralis/Patrik
Stronglyloides larvae
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