2. A patient is a 43 year-old male from Maine who has just returned
from a trip to Africa. On his return, he was involved in a bicycle
accident, and subsequently, required blood transfusions during
treatment for internal injuries. Several weeks post-transfusion,
he began complaining of fever, headache, and general malaise.
The first blood specimens examined using automated
instrumentation revealed nothing significant. He continued to
have high fevers and severe headaches, and eventually several
additional blood specimens were submitted to the microbiology
laboratory for examination as thick and thin blood films. The
following images were seen - please comment on the possible
diagnosis and the identification of the organisms seen
Caso 1
3. El paciente es un varón de 43 años de edad, de Maine, que acaba de
regresar de un viaje a África. A su regreso, se vio involucrado en un
accidente de bicicleta, y, posteriormente, requiere transfusiones de
sangre durante el tratamiento para lesiones internas. Varias
semanas después de la transfusión, comenzó a quejarse de fiebre,
dolor de cabeza y malestar general. Las primeras muestras de
sangre examinadas usando la instrumentación automatizada
revelaron nada significativo. Él continuó teniendo fiebre alta y
fuertes dolores de cabeza, y, finalmente, varias muestras de sangre
adicionales fueron enviadas al laboratorio de microbiología para su
examen como frotis de sangre gruesas y delgadas.Las siguientes
imágenes fueron vistos - por favor hacer comentarios sobre el
posible diagnóstico.
5. A patient is a 55 year-old male with multiple medical problems
who was seen in an emergency room complaining of
weakness, cough, and fever. He had recently returned from
a trip to Mexico and several areas in Central America.
Although malaria prophylaxis was recommended, he failed
to take the medication properly. On examination of both
thick and thin blood films prepared from blood collected in
EDTA tube (purple top), the following images were seen.
Please comment on the possible diagnosis and the
identification of the organisms seen .
Caso 2
6.
7. Both the thick and thin blood films were stained using
Giemsa stain.
After the appropriate diagnosis was made, additional
blood was drawn with the following images seen in
the thick and thin blood films. Please comment on the
objects seen below.
