Tropical Travel Trouble 004 Bloody Diarrhoea
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog aka Tropical Travel Trouble 004 A medical student who has just returned from their elective in Nepal presents with 1 week of bloody diarrhoea. He has been in the lowlands and stayed with a family in the local village he was helping at. It started three days before he left and he decided to get home on the plane in the hope it would settle. He is now opening his bowels 10x a day with associated cramps, fevers and has started feeling dizzy. Questions: Q1. What is dysentery ...
Source: Life in the Fast Lane - March 12, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine amoebic dysentery bacillary dysentery e.histolytica entamoeba histolytica shigellosis Source Type: blogs

Answer to Case 394
Answer: Ciliocytophthoria (a.k.a. detached ciliary tufts)This case is interesting in that detached ciliary tufts (DCTs) are uncommonly seen in stool specimens, and therefore I think that their presence threw a few people off. DCTs are formed when ciliated epithelial cells are damaged and the ciliary plate becomes detached from the rest of the cell. They are commonly seen in specimens from the lower respiratory tract (especially in patients with asthma and other inflammatory conditions), and can also be seen in various body fluids when ciliary epithelial cells may be present (e.g. peritoneal fluid with ciliary metaplasia).D...
Source: Creepy Dreadful Wonderful Parasites - April 24, 2016 Category: Parasitology Source Type: blogs

Answer to Case 283
Answer:  Ciliocytophthoria, a.k.a. detached ciliary tufts from ciliated epithelial cells.  Florida Fan mentions that "Considering how many things we breath in daily, it is quite marvelous they sweep them out more efficiently than we can imagine."  Very true.  Our ciliated epithelial cells do an excellent job as part of the "mucociliary escalator" that removes inhaled debris from the respiratory tree.  Unfortunately, various inflammatory states including asthma can cause the apical ciliated tufts of the respiratory cells to detach, and more than one investigator has mistaken these for ciliated paras...
Source: Creepy Dreadful Wonderful Parasites - November 24, 2013 Category: Pathologists Source Type: blogs