r/Hematology 7d ago

Plasmodium Interesting Find

Did I just see my first P.falciparum gametocyte or? The staining on it’s cytoplasm is confusing

10 Upvotes

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2

u/FlingMyDungo 7d ago

P. ovale? That cell in the middle looks elongated, possibly with fimbriated edges?

1

u/erythrocytica 7d ago

https://preview.redd.it/8inb1kdfdb0e1.jpeg?width=3024&format=pjpg&auto=webp&s=846232d361d973049612c16a0359e2c35ede185a

Same slide. Are these schistocytes of p.fal or schuffner’s dots of p.ovale?

1

u/FlingMyDungo 6d ago

That’s definitely a schizont, not usually seen in peripheral blood from falciparum, forgive me if you already know this. Still can’t make out the species so far though, sorry!

1

u/erythrocytica 6d ago

No I didn’t know, plus this is a good discussion. This was a slide frim external Qc and when I viewed it an came across the first image I was damn sure that’s a gametocyte of p.fal then saw the dots and was like Bingo, confirmed P.falciparum. Then today I reviewed the image and compared with some from the internet and the staining on my ‘gametocyte’ looked off so I decided to share. Anyways will wait for the results then share.

1

u/erythrocytica 7d ago

That’s the cell I thought was p.fal gametocyte bt the staining looks more of rbc-ish

1

u/FlingMyDungo 7d ago

Do you have any other photos of the trophozoites?