A 56-year-old man presented to the emergency department with fever, chest discomfort, and a nonproductive cough. A complete blood count indicated a mild elevation in the level of eosinophils with no additional abnormalities. The patient’s chest x-ray demonstrated patchy lobular infiltration. The patient was subsequently hospitalized for further evaluation. Three stool samples were collected over a period of 3 days with no evidence of parasitic infection. The patient died the following day. (LIVER BIOPSY RESULT) 1. What, if any, additional laboratory tests may have been helpful to improve the diagnosis and evaluation of the patient’s condition? 2. The autopsy revealed liver damage associated with deposition of the inclusions. Based on the morphologic appearance and the patient’s initial symptoms, what is the likely parasite implicated in the patient’s death? 3. Why is there no parasite detected in stool?
A 56-year-old man presented to the emergency department with fever, chest discomfort, and a nonproductive cough. A complete blood count indicated a mild elevation in the level of eosinophils with no additional abnormalities. The patient’s chest x-ray demonstrated patchy lobular infiltration. The patient was subsequently hospitalized for further evaluation. Three stool samples were collected over a period of 3 days with no evidence of parasitic infection. The patient died the following day.
A 56-year-old man presented to the emergency department with fever, chest discomfort, and a nonproductive cough. A complete blood count indicated a mild elevation in the level of eosinophils with no additional abnormalities. The patient’s chest x-ray demonstrated patchy lobular infiltration. The patient was subsequently hospitalized for further evaluation. Three stool samples were collected over a period of 3 days with no evidence of parasitic infection. The patient died the following day.
(LIVER BIOPSY RESULT)
1. What, if any, additional laboratory tests may have been helpful to improve the diagnosis and evaluation of the patient’s condition?
2. The autopsy revealed liver damage associated with deposition of the inclusions. Based on the morphologic appearance and the patient’s initial symptoms, what is the likely parasite implicated in the patient’s death?
3. Why is there no parasite detected in stool?
(LIVER BIOPSY RESULT)
1. What, if any, additional laboratory tests may have been helpful to improve the diagnosis and evaluation of the patient’s condition?
2. The autopsy revealed liver damage associated with deposition of the inclusions. Based on the morphologic appearance and the patient’s initial symptoms, what is the likely parasite implicated in the patient’s death?
3. Why is there no parasite detected in stool?
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