Case #424 – July 2016

A 22-month-old child presented to the emergency room after 10 days of cyclic fever and chills, decreased PO intake, and seizures. The child had emigrated from a country in the Middle East with her family three months prior. Blood specimens were collected for routine work-up. A CBC was flagged for low platelet count, and smears were made and stained with Wright-Giemsa. During microscopic examination of thin smears, a technologist identified possible malaria parasites. Images were captured and sent to the DPDx Team for diagnostic assistance. Figures A-F show six of the images received for consultation. What is your diagnosis? Based on what criteria?

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This case and images were kindly provided by Texas Children’s Hospital, Houston, TX.

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