Answer to Case 662
Answer to theParasite Case of the Week 662:Fasciola/Fasciolopsis/Echinostoma species eggs. The clinical history is most consistent with infection with the liver fluke, F. hepatica, rather than infection with an intestinal fluke. As mentioned by Bernardino, Florida Fan and SB, Fasciola giganticais also in the differential diagnosis, based on the morphology of the eggs. However, it is not found in the Americas and can therefore be excluded.Fasciolaspp.,Fasciolopsis buski,andEchinostomaeggs have a similar appearance, measuring up to 130-150 in greatest dimension, and having a small operculum. In part...
Source: Creepy Dreadful Wonderful Parasites - November 28, 2021 Category: Parasitology Source Type: blogs
poem
Op Note XIIIYou could feel it under her skin. Firm, hard immobile mass. It hurts sometimes, she said. She understood the risks. That there were no guarantees. Just try your best, she asked. We carefully opened her up and gasped. The tumor had consumed nearly everything. Liver, stomach, spleen. The essence of her being, hijacked by an invader. It had commandeered genetic machinery to fashion vessels to feed its expanding bulk. The parasite was now the host. She belonged to it. It was too late. It had become too much of her to risk removing it.&nbs...
Source: Buckeye Surgeon - November 21, 2021 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs
Case of the Week 661
The following microfilariae were seen on Giemsa-stained preparations of whole blood following the Knott ' s concentration procedure. They are between 180 to 200 microliters in length. No travel history was initially available. Identification?Thanks to Heather Morris for these beautiful photos. (Source: Creepy Dreadful Wonderful Parasites)
Source: Creepy Dreadful Wonderful Parasites - November 16, 2021 Category: Parasitology Source Type: blogs
Answer to Case 661
Answer to theParasite Case of the Week 661:Mansonella perstansmicrofilariae.As many of you noted, this filarial worm has very small, unsheathed microfilariae. Note that the microfilariae are more slender than the eosinophils - and even the RBCs! That is one of the most helpful features. They also have a blunt tail, and the nuclei extend to the tip of the tail. (Source: Creepy Dreadful Wonderful Parasites)
Source: Creepy Dreadful Wonderful Parasites - November 15, 2021 Category: Parasitology Source Type: blogs
Case of the Week 660
This week ' s case is another histopathology finding from an eye. The entire orbit was removed because of the presence of a parasitic cyst. You can see the digital slideHERE. Identification?Here is a screen shot of the digital slide: (Source: Creepy Dreadful Wonderful Parasites)
Source: Creepy Dreadful Wonderful Parasites - November 8, 2021 Category: Parasitology Source Type: blogs
Is misinformation deadlier than the virus?
Lurking in the shadows, it creeps in. Spreading itself across the world. Creeping into all recesses of human civilization, like a slug oozing slime as it moves slowly and surely. A microscopic, spikey ball of evil engineered for killing. Attacking its prey without warning. Attaching itself, drawing lifeblood for its existence. A parasite of sorts,Read more …Is misinformation deadlier than the virus? originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 8, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/michele-luckenbaugh" rel="tag" > Michele Luckenbaugh < /a > < /span > Tags: Patient COVID-19 coronavirus Infectious Disease Source Type: blogs
Answer to Case 660
Answer to the Parasite Case of the Week 660: Cysticercus; larval form ofTaenia soliumAs noted by Blaine, this is " ocular cysticercosis caused byT. solium, as indicated by a single protoscolex. Coenurosis caused by a zoonoticTaeniais also a possibility, but coenuri have multiple protoscoleces, as do hydatid cysts ofEchinococcus. Sparganosis is another cestode infection that can manifest in the eyes, but they do not produce protoscoleces at all. " Lots of great eye puns in the comments!Here are some of the key diagnostic features: (Source: Creepy Dreadful Wonderful Parasites)
Source: Creepy Dreadful Wonderful Parasites - November 7, 2021 Category: Parasitology Source Type: blogs
Case of the Week 659
This week ' s case features adigitally-scanned section of a subcutaneous nodule from the thigh of a man living in rural Senegal. The man presented with a several month history of severe itching in his lower extremities and abdomen, accompanied with a papular skin rash and focal loss of skin pigmentation. Here is a low power view of the skin and underlying nodule:Diagnosis? (Source: Creepy Dreadful Wonderful Parasites)
Source: Creepy Dreadful Wonderful Parasites - November 1, 2021 Category: Parasitology Source Type: blogs
Answer to Case 659
Answer to theParasite Case of the Week 659:Onchocerca volvulusadult worms and microfilarie. If you didn ' t already see it, check out the whole slide scanned image HERE.In this case, you can see a large subcutaneous nodule containing the adult worms (each female with a characteristic " double barrel " uterus) and microfilariae being released into the surrounding skin. The microfilariae are the primary source of disease, as they crawl through the skin causing intense itching and inflammatory changes. They also go to the eye and cause irreversible blindness. The latter is the reason that infection is cal...
Source: Creepy Dreadful Wonderful Parasites - October 31, 2021 Category: Parasitology Source Type: blogs
Case of the Week 658
This week ' s case is a thick blood film from a patient with fever and recent travel to East Africa. Diagnosis? Would you like any additional studies? (Source: Creepy Dreadful Wonderful Parasites)
Source: Creepy Dreadful Wonderful Parasites - October 26, 2021 Category: Parasitology Source Type: blogs
Answer to Case 658
Answer to theParasite Case of the Week 658:Trypanosoma bruceiGiven the travel history and rapid onset of symptoms,T. b. rhodesienseis the most likely parasite present. This case shows very high parasitemia with numerous trypomastigotes seen on the patient ' s thick blood film. Here is the corresponding thin blood film, highlighting some of the key diagnostic features:Note that the motile flagellate form (i.e., the trypomastigote) ofT. bruceidivides by binary fission in the peripheral blood. This is in contrast toTrypanosoma cruzi,the cause of American trypanosomiasis (a.k.a. Chagas disease), in which it is the non-motile t...
Source: Creepy Dreadful Wonderful Parasites - October 24, 2021 Category: Parasitology Source Type: blogs
Case of the Week 657
This week ' s case features a Giemsa-stained thin blood film from a patient with recent travel to India. Identification? For a BONUS, can you list the different stages in images 1-4 below? (Source: Creepy Dreadful Wonderful Parasites)
Source: Creepy Dreadful Wonderful Parasites - October 19, 2021 Category: Parasitology Source Type: blogs
Ivermectin is a Nobel Prize-winning wonder drug
Ivermectin is an over 30-year-old wonder drug that treats life- and sight-threatening parasitic infections. Its lasting influence on global health has been so profound that two of the key researchers in its discovery and development won the Nobel Prize in 2015. I ’ve been an infectious disease pharmacist for over 25 years. I’ve also managed patientsRead more …Ivermectin is a Nobel Prize-winning wonder drug originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 18, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/jeffrey-r-aeschlimann" rel="tag" > Jeffrey R. Aeschlimann, PharmD < /a > < /span > Tags: Meds Infectious Disease Source Type: blogs
Answer to Case 657
Answer to theParasite Case of the Week 657:Plasmodium vivaxThanks to all of the great comments on this case! There are so many classic features ofP. vivaxhere, that it makes for a fabulous teaching slide. Florida Fan very nicely outlined all of the diagnostic features along with his thought process for coming to the final identification:1/ The ring is fairly large, and the infected red cell is larger than the not infected. As such, there is a predilection for reticulocytes. Either P. vivax or P. ovale.2/ The mature trophozoites are ameboid form, showing them to be highly Vivacious. More than likely P. vivax.3/ The sc...
Source: Creepy Dreadful Wonderful Parasites - October 18, 2021 Category: Parasitology Source Type: blogs
