Monthly case studies [Last Modified: ]

April, 2005

Case 153:
A 32-year-old male from Nigeria had been visiting some relatives in the United States for approximately a week.  He went to a local emergency room for headaches, nausea, and general weakness and fatigue.  Blood was drawn by fingerstick and thick and thin blood films were made.  Images from the thick smears were captured and sent to CDC for confirmation.  Figures A and B show what was seen on the Giemsa stained thick film when it was examined.  What is your diagnosis?  Based on what criteria?  What additional steps would you recommend to achieve a definitive diagnosis?

Case 153 Image A Case 153 Image A
Case 153 Image A Case 153 Image A
Case 153 Image B Case 153 Image B
Case 153 Image B Case 153 Image B
A B

Click here for the answer to Case 153.

Case 154:
A 49-year-old male immigrant from Mexico was seen at a local medical facility specializing in neural disorders for frequent headaches and occasional seizures.  Figures A and B show what was observed on a hematoxylin and eosin (H & E) stained section of lesions detected in the right frontal lobe of his brain.  Figure A was taken at 40× magnification and Figure B was taken at 100× magnification.  What is your diagnosis?  Based on what criteria?

Case 154 Image A Case 154 Image A
Case 154 Image A Case 154 Image A
Case 154 Image B Case 154 Image B
Case 154 Image B Case 154 Image B
A B

Click here for the answer to Case 154.

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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