The following is a giemsa-stained air-dried smear of CSF from a comatose 14 year boy. He had been in his normal state of health up until the day previous, when he experienced rapidly declining mental status. The forms seen were the only ones present, and measure approximately 20 micrometers in diameter. Identification?
Answer: Onchocercoma. Definition: a subcutanteous tumor-like mass caused by the presence of adult filarial worms Onchocerca volvulus. Note the fibrous tissue surrounding the coils of the adult worms, and the microfilariae within the classic ‘double uterus’ and in the surrounding tissue. All adult female filarial worms that infect humans have a classic double uterus, seen [...]
Our Pathology program has set up the curriculum so that we do three-month block rotations during our second year of training. I just finished my three-month intense hematopathology rotation and really enjoyed it. I’m psyched about doing more of it and I hope to do a fellowship. In the midst of talking about career choices [...]
If you consider yourself a blue-collar neuropathologist, a nice resource has appeared on the web for you. Henry Stewart Publications, based in London, is providing free access to a wide variety of on-line biomedical lectures in the form of the Henry Stewart Talks. Many different biomedical topics are addressed, but one series focuses on neurodegenerative [...]
Dr. Ed Uthman is a practicing pathologist who recently posted this video on YouTube. Regardless of where you are on the debate of healthcare reform I think Ed sums up succintly some widely perceived misconceptions regarding several “parts” of the current “system” that are a common source of frustration to health care providers. He addresses [...]
The following painless nodule was removed from the subcutaneous skin of the abdomen from an African male. He comments that the skin of his lower extremities is dry, focally depigmented, and extremely itchy. Diagnosis?
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