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Case #393 April 2015

A 59-year-old female immigrant presented at a local hospital with microcytic/hypochromic anemia and eosinophilia. She underwent an exploratory colonoscopy during which the following object shown in Figure A was observed and recovered. The object measured 40 mm in length. Results for routine ova-and-parasite (O&P) exams were not available.  What is your diagnosis?  Based on what criteria?A 59-year-old female immigrant presented at a local hospital with microcytic/hypochromic anemia and eosinophilia. She underwent an exploratory colonoscopy during which the following object shown in Figure A was observed and recovered. The object measured 40 mm in length. Results for routine ova-and-parasite (O&P) exams were not available.  What is your diagnosis?  Based on what criteria?

Figure A

This case and image was kindly provided by The Cadham Provincial Public Health Laboratory, Winnipeg, MB, Canada.

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.

DPDx is an educational resource designed for health professionals and laboratory scientists. For an overview including prevention, control, and treatment visit www.cdc.gov/parasites/.