Monday, January 15, 2018

Case of the Week 477

This week's case was generously donated by Dr. Piryanka Uprety and the excellent Clinical Microbiology and Hematology Laboratories at the University of Pennsylvania. The following structures were initially observed by a hematology fellow in a wet mount (40X) from a BAL specimen. Photographs and videos are courtesy of Joyce Richardson, Vivian Whitener, and Darrin Jengehino from the Hematology Laboratory.

Wet preparation of the BAL fluid with iodine showed the following:



Identification?

11 comments:

Anonymous said...

Respiratory epithelial cells.
BW from VT

Anonymous said...

A return to the brush cells of the respiratory tract, the hairs move in conjunction to expel the particles trapped by secretions of the goblet cells.
Certainly the movement of the brush hairs have created some excitement to many. These "pseudo-parasites" would not fool most experienced parasitologists.
Florida Fan

Idzi P. said...

Indeed! Ciliated respiratory epithelial cells!
In pictures 1 and 3, the typical (more intensely staining) border is clearly visible (on the side of the cilia).

Luis Fernando Solorzano said...

CĂ©lulas del epitelio respiratorio

William Sears said...

Not a parasite. Ciliated respiratory epithelial cells.

Sugar Magnolia said...

Agreed. Ciliated respiratory epithelial cells. Exciting to witness, but certainly not a parasite.

Atiya Kausar said...

Movement seen in video may make us think about some parasite but iodine stained pics show clear resp celiated cells...

Md. Ariful Islam said...

7 College
7 College Degree 1st Year Result
39th BCS Circular

uknown said...
This comment has been removed by a blog administrator.
Anonymous said...

how do I submit a case?

Bobbi Pritt said...

Hi Anon! I gladly take cases from other professionals in the field. I do not accept cases from patients, however, and do not provide medical opinions