Case #346 – April, 2013

A 21-year-old exchange student from Nepal sought medical attention for intermittent diarrhea associated with mild abdominal cramps. A stool specimen was collected for laboratory testing in low viscosity polyvinyl alcohol (LV-PVA). A smear was made from the preserved stool and stained with trichrome. Figures AD show what was observed in moderate numbers at 1000x magnification with oil; Figures A and B show the same object in different focal planes. The size of the objects ranged from 15-20 micrometers in diameter. What is your diagnosis? Based on what criteria?

Figure A

Figure B

Figure C

Figure D

Images presented in the DPDx 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