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Follow-up to “An unfortunate case”

Thanks to the readers who responded with the correct diagnosis to last week’s case!  I’ve also presented this case at our weekly clinical pathology conference and I’ve found it extremely interesting and educational. This was indeed a case of hepatosplenic T-cell lymphoma (HSTL), gamma-delta type.  Characteristically, lymphadenopathy was absent and there was no peripheral involvement [...]

An unfortunate case

It’s been a while since I posted an interesting case, but here’s one that I saw in follow-up during my flow cytometry month. The patient is a 44 yo M with a history of end-stage renal disease secondary to hypertensive nephropathy who was awaiting transplant > 2 years and undergoing peritoneal dialysis.  Fatigue and anemia [...]

Compendium of Online Pathology Resources

Below, you’ll find a list of links to some excellent Pathology-related websites from professional organizations, to study cases, to blogs. These are all sites that I’ve found useful over the past three years as a resident at Albany Medical Center, and, hopefully, they can be of use to you as well!

Posted by
Bobbi Pritt

Date
July 16, 2010
9:38 am

Tagged

Category
Cases, Microbiology

Case of the Week 56

The following was ‘passed’ in the stool of an otherwise asymptomatic 50 year old woman. (images courtesy of Dr. Washington Winn, Fletcher Allen Health Care, VT) Identification?

Posted by
Bobbi Pritt

Date
July 16, 2010
9:35 am

Tagged

Category
Cases, Microbiology

Answer to Case of the Week 55

Answer: Rhinosporidiosis (infection with Rhinosporidium seeberi) Congratulations to Anonymous (x 3!), Kenneth, Chris, Victor, and Santoshpath who all got this correct! The keys to the diagnosis is the clinical history (location in nasal mucosa), exposure history (India), and histopathologic features of a polypoid mass containing mature sporangia (large, thick-walled spherical structures) and smaller internal sporangiospores [...]

Posted by
Bobbi Pritt

Date
June 28, 2010
1:45 pm

Tagged

Category
Cases, Microbiology

Case of the Week 55

Here’s a challenge for all of you: Nasal polyp removed from a 50 year old Indian man with complaints of chronic nasal obstruction. Histologic exam reveals the following:

Posted by
Bobbi Pritt

Date
June 20, 2010
5:10 pm

Tagged

Category
Cases, Microbiology

Answer to Case of the Week 54

Answer: Trypomastigotes and intermediate trypomastigote/amastigote forms of Trypanosoma cruzi. Thanks to everyone who wrote in for this case! This was, admittedly, a tricky case, since it is uncommon to see amastigote-type forms in peripheral blood. The reason these atypical forms were present is because this specimen was grown in culture and then innoculated in peripheral [...]

Case of the Week 54

The following were seen on a Giemsa-stained thick blood film made from EDTA whole blood. Identification?

Posted by
Bobbi Pritt

Date
June 14, 2010
3:15 pm

Tagged

Category
Cases, Microbiology

Answer to Case of the Week 53

Answer: You should advise him that this is not an Ixodes scapularis tick, which is the agent of Lyme disease, as well as babesiosis and anaplasmosis. Instead, it is a Dermacentor tick, which can transmit Rocky Mountain spotted fever. Unlike I. scapularis, Dermacentor spp. ticks have a “chalise-shaped” anal groove and festoons (not well visible [...]

Posted by
Bobbi Pritt

Date
June 9, 2010
3:41 pm

Tagged

Category
Cases, Microbiology

Case of the Week 53

Welcome back to Case of the Week! It’s been a while since our last post due to the holiday, but now we’re back on schedule with a fun video for you: The following insect was removed from the flank of a Medical Resident from Minnesota who had mistaken it for a ‘mole’ or ‘skin tag’. [...]

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