Case of the Week 19
The following thin Giemsa-stained blood smear is from a missionary who just returned from Tanzania.
The following thin Giemsa-stained blood smear is from a missionary who just returned from Tanzania.
Answer: Probable Strongyloides stercoralis filariform (L3) larvae. Congratulations to everyone who wrote in with the correct answer! You all recognized that these are nematode (round worm) larvae. The clinical history and presence of larvae in the sputum are most suggestive of S. stercoralis, although it is difficult to make out specific features from these photographs [...]
The Washington Post (8/17, Vogel) reports that the Armed Forces Institute of Pathology (AFIP) in Washington, slated to be closed as part of the 2011 shutdown of the Walter Reed Army Medical Center, has taken public issue with a private firm’s attempts to portray itself as the Institute’s successor. After Bostwick Laboratories issued a news [...]
This weekend brings the 2nd annual Midwestern Conference Update in Surgical Pathology to Milwaukee. It’s a three-day, Friday-Sunday affair and I am proud to say that it’s been a great conference thus far. It’s taking place in the InterContinental Hotel in downtown Milwaukee, which serves as a quite high-end venue. Although I am not staying [...]
Sorry for the delay in following up with my case! It was a good initial presentation of chronic myelogenous leukemia, chronic phase. So, to start off with, the 5% “unclassified cells” were myeloid blasts without Auer rods. In addition, the peripheral smear shows mostly granulocytes in varying stages of maturation. The mature bands and neutrophils [...]
The following worms were identified in this Papanicolaou-stained sputum from a 70 year old man being treated with chemotherapy for disseminated lung cancer. They measure approximately 500 micrometers in length. What is the most probable diagnosis?
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