Brief Case History:A 23-year-old man spent 9 months in Kenya. He reported taking doxycycline for prophylaxis while in Kenya, however he poorly adhered to this daily regimen. Upon his return to the United States, he saw a doctor due to fevers. It was determined from the patient's blood that he had a low platelet count and a normal liver function. Blood films were made from a finger stick, stained with Giemsa, and examined. The objects below were observed in the thick and thin blood films under oil immersion 1000×.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgys0_1xw9CBtb3MAPyOPxa1jTv5XHeyoS6C6l2a07EmWxs5EdNPRM6nGnHalAtPubCC1eV-b_1VVKLh9rOTwTP5jtRPumRWjqTQ5RUm8KjErHXktvAbRWepFbcNMG7dQeKa6h8Mx-GvrbL/s320/Case135_F.jpg)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEibeMz7OcBWeUu5vco9aiSgIpbEVx_RYbCdxtLTodEO7B2BlGGTY0cd-DXGdumt4rPmmccZ5vilL0Kudn2GzPDdC9RCqT8QL_h4tFD7t6Vps248CR2LyFcJxBcXfIzcSdY35yUiyrkgn3ya/s320/Case135_E.jpg)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg1uRKeITl9CgJgM-yF_QzbHHtmvMqUHcaoGKgIA8wvZ6du8v94q3LBV_tkFK4ckHx2UAitIkmo4aYvYtJWaVfNHw-rYzX62sXopds_CUEDBJCTMdqE37BPSGqObrtWjkrKJg6pfqbcoaII/s320/Case135_D.jpg)
Drop in your answers in the comments section -with the diagnosis (species level identification) and based on what criteria is ur identification.
Images & History Courtesy: DPDx, CDC
The answer is :
Plasmodium malariae , based on the size of infected RBCs ( not enlarged) which rules out P.vivax and P.ovale, characteristic band-form trophozoite in the third pic and the geographic location.
+ comments + 2 comments
Answer theriyala
Mate, whats the answer?
Maverick
Post a Comment