I got the results of NEQAS 2502 DM
today. My notes said:
The expert opinion said:
“This case shows a dual
parasite infection with P. falciparum and P. ovale. Cases such
as this are infrequent but certainly seen. The key is to recognise when things
don’t quite match those of a single species. Present on this film are early
trophozoites of P. ovale, late trophozoites of P. falciparum, and
gametocytes of each species. There is a phagocyte containing malaria pigment.”
Well, I spotted the two species
correctly, and the “unusual Wbc” I saw would be the one with the malarial
pigment. Bearing how infrequently we see positive malarial smears, let alone
ones with dual infestations, as Kryten 2X4B 523P would say “engage smug mode”…
- Falciparum - ring forms & gametocytes
- Ovale schizonts (as fimbrillation) on red cells
- ??? exflagellation
- Unusual Wbc
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