Case #521 – August, 2020

As part of a refugee screening program, a young child had a fecal ova and parasite (O & P) examination which included a formalin-ethyl acetate (FEA) fecal concentration. Objects shown in Figures AC were detected in low numbers on a wet mount preparation and measured about 75 micrometers on average.  What is your diagnosis?  Based on what morphologic features?

Figure A

Figure A

Figure B

Figure B

Figure C

Figure C

Images presented in the dpdx case studies are from specimens submitted for diagnosis or archiving. On rare occasions, clinical histories given may be partly fictitious.