Case #318 - February, 2012
A patient with travel to Mexico presented to his local public health facility with general abdominal discomfort. A stool specimen was collected and processed using the formalin-ethyl acetate (FEA) procedure. A wet mount was prepared and examined. Digital images were captured at 1000x oil magnification and sent to DPDx for consultation. Figures A–D show the objects of interest, which measured 12-15 micrometers in length. What is your diagnosis? Based on what criteria?
The objects in this case were artifacts (possibly algal or fungal spores) and the correct diagnosis was No Parasites Found (NPF). The artifacts somewhat resembled the eggs of trematodes. The eggs of intestinal and hepatic trematodes are larger; the smallest (Opisthorchis spp.) are usually at least 25 micrometers long.
More on: Artifacts
This case and images were kindly provided by the Washington State Public Health Laboratory.
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/.