2013-04-23

The diagnosis for mystery case #15

Great interest and many good comments on this case! His diagnosis was:  Eosinophilic meningitis secondary to Angiostrongylus cantonensis infection. Angiostrongylus cantonensis is a parasitic nematode (roundworm) which causes angiostrongyliasis, the most common cause of eosinophilic meningitis in Southeast Asia and the Pacific Basin. The nematode commonly resides in the pulmonary arteries of rats, giving it the nickname rat lungworm. Humans are incidental ...

2013-04-10

Mystery cells, case #15

Who can tell the diagnosis? A 50-year-old male from the State of Nevada was sailing his boat in the South Pacific for over a month. He would frequently eat raw shellfish and raw fish. He presented to a hospital in Nevada with muscle pain, numbness and headache. A spinal fluid aspiration was done and the ...

2013-03-05

The diagnosis for mystery case #14

Impressing – A lot of good comments and answers on this case! The diagnosis The cells with a flower like pattern are as many of you wrote metastatic breast cancer cells. The patient has a history of breast cancer and unfortunately these metastatic breast cancer cells were now found in her spinal fluid. If you ...

2013-02-21

Mystery cells, case #14

The laboratory at the Presbyterian/St.Lukes Medical Center in Denver, Colorado, USA, came across this unusual patient case in their Body Fluid Application on CellaVision DM96. A young female (oncology patient) came to the hospital for treatment which included a spinal fluid aspiration. The spinal fluid sample was brought to the laboratory and a cytocentrifuge preparation ...

2012-12-04

The diagnosis for mystery case #13

A lot of good comments on this case! On the case there was a toxic granulation seen. The one blast was a rare blast seen just because of the degree of infection. The blast would be transient due to the high turnover of the immune system. The diagnosis for the baby was Sepsis and fortunately ...

2012-11-21

Mystery cells, case #13

CellaVision News Blast continues to provide you with unusual cell morphology cases. This Mystery cells case presents a 7 day old baby girl, at Sharp Memorial Hospital in San Diego USA. Upon examination at birth by a Pathologist the placenta was found to have bacteria and inflammation. The hospital examines all placenta’s and Umbilical Cords ...

2012-09-27

The diagnosis for mystery case #12

Great input from our readers as usual! The differential count for the sample showed: 7 % Neutrophils 1 % Eosinophils 1 % Basophils 87 % Lymphocytes, most of them Prolymphocytes 4 % Monocytes The patient was diagnosed with Prolymphocytic Leukemia Do you have an interesting case that you want to share on the blog? Contact ...

2012-09-20

Mystery cells, case #12

Can anyone tell us the diagnosis? The cells in this case were collected from a blood film run on a CellaVision®DM96 at Northern Plains Laboratory Bismarck, North Dakota, US. The patient details are as follows: 84 year old male WBC 30.7 x 10^9/l RBC 3.72 x 10^12/l Hemoglobin 112 g/l HCT 34.1% MCV 92  fl ...

2012-06-20

The diagnosis for mystery case #11

Lots of great comments for this case! What you saw was G-6-P-D deficiency in crisis. Blood film showed acute drop in Hb with increased polychromasia, spherocytes, target cells, bite cells irregularily contracted cells and increased numbers of nucleated RBC. There were numerous Heinz bodies in the Heinz body stain test. Bilirubin 462 (normal <300) Thank ...

2012-06-13

Mystery cells, case #11

This week’s unusual case was sent to us by John Peters, Charge Scientist, Hematology Laboratory Middlemore Hospital Auckland New Zeeland. The details are: Blood from a 10 day old, Chinese twin with prolonged jaundice. A FBC was performed and the results are as follows: Hb = 71 g/L Hct = 0.22 MCV = 109 fL Plt ...

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