Monthy Case Studies - 2014
For the last Monthly Case Study for 2014, the DPDx Team thought we would fill your holiday stockings with a plethora of parasites!
A 10-year-old girl residing in Pennsylvania was hospitalized with a 101.5º F fever, vomiting, abdominal pain, and diarrhea.
A 73-year-old woman presented to a local clinic in Ghana with a skin nodule that had developed adjacent to the resection site of a previous low-grade malignant skin tumor.
A patient presented to a local hospital with encrusted lesions on his arms and legs. A skin scraping was made and examined unstained at 40x magnification.
A 39-year-old immigrant from Panama sought medical evaluation for mild intermittent fevers.
A man was seen as an outpatient at a hospital in Atri, Italy. A stool specimen was collected and processed for ova-and-parasite (O&P) testing.
A 25-year-old male was hospitalized for Crohn’s exacerbation, duodenal outlet obstruction, and regional enteritis.
A 46-year-old woman returned from a trip to Nigeria with multiple boils on her lower back and extremities.
A 25-year-old female presented to a dermatologist with ulcerative lesions on her left arm and both lower legs.
A 22-year-old man had a post-travel medical evaluation that included hematologic work-up after returning from an 11-day missionary trip to Honduras.
A state health laboratory received stool specimens collected in in sodium acetate-acetic acid-formalin (SAF) for ova-and-parasite (O&P) examination.
An 18-year-old female presented a worm-like object to her primary health care provider, claiming it was found in her stool.
A 34-year-old missionary worker sought medical attention for abdominal pain, nausea, and watery diarrhea after returning from visiting friends in Central America
A worm-like object was observed during a routine colonoscopy screening of an adult living in Hawaii.
A 45-year-old patient originally from Mexico presented with a left groin lymphocele, erythema, swelling in his lower extremities, and fever and chills approximately one month after receiving a heart transplant.
Stool specimens were collected from a 14-year-old refugee from Myanmar as part of a routine screening program.
A 21-year-old female presented with swelling of the eyelid, wrist, and knee. The symptoms started after returning from a three-month trip to Cameroon in 2011.
A 24-year-old male with a history of granulomatous immunodeficiency had biopsy specimens taken of skin lesions on his right forearm (Figure A).
An eight-year-old child presented to a hospital with intermittent fevers.
A citizen of the Netherlands presented with abdominal discomfort after returning home from a two-month trip to Suriname.
A 28-year-old male from Algeria had complaints of right upper quadrant (RUQ) abdominal pain.
A 21-year-old immigrant from North Africa had a routine ova-and-parasite (O&P) stool exam performed as part of a refugee screening program.
An 81-year-old man, with a previous history of basal-cell carcinoma on his upper right arm and shoulder, presented with a small protuberance in the hollow of his left knee.
A 49-year-old female passed a worm-like object approximately three weeks after attending a Thanksgiving potluck for 200 people.