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December, 2004
Case 145:
A 47-year-old woman traveled to the Dominican Republic. Upon her
return she experienced fever and chills and went to see her doctor. A blood
smear was ordered by her physician, stained with Wright's-Giemsa, and
examined. The following images show what was seen at 1000×
magnification. What is your diagnosis? Based on what criteria?
Acknowledgement:
This case was kindly contributed by the Illinois Department of Public
Health Chicago Laboratory.
Click
here for the answer to Case 145.
Case 146:
A 45-year-old man had coughing spells, typically in the morning, over a
2-year period. He decided to consult his primary care physician
after noting blood in his sputum on a few occasions. The man said he
did not have allergies but that he occasionally smoked cigars. He
also mentioned that he traveled frequently for business to Asia and
Africa. His physician requested a chest x-ray, and upon examination,
cavitary lesions were observed in both lungs. A biopsy of lung tissue was
obtained, sectioned, and stained with hematoxylin and eosin (H & E).
Figure A shows what was observed in moderate numbers on the slide
(200× magnification). What is
your diagnosis? Based on what criteria?
Click
here for the answer to Case 146.
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.
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