March, 2003

Case 103:
A 17-month-old girl was taken to the emergency room of a local hospital after vomiting a worm.  The mother of the child told the attending physician that the child had intermittent diarrhea and some weight loss during the last few weeks.  She was presumptively treated for ascariasis.  Since her family owned two cats and the child had access to the litter box, her parents were advised to have the cats checked by a veterinarian.  The images below are pictures of the worm from the girl.  The worm was approximately 5 cm in length.  What is your diagnosis?  Based on what criteria?

A	B

C

Click here for the answer to Case 103.

Case 104:
A 38-year-old physician (radiologist) moved to the United States from India seven years ago, but he still makes frequent trips back to India.  He noticed some enlargement of a mass in his shoulder (a subclavian mass) that had been there for three years.  His physician performed a biopsy of the mass.  Below are images from hematoxylin and eosin (H & E) stained section of the biopsied mass.  What is your diagnosis?  Based on what criteria?

A	B

C

Click here for the answer to Case 104.

Images presented in the monthly case studies are from specimens submitted for diagnosis or archiving.  On rare occasions, clinical histories given may be partly fictitious.