Vaginal Parasite

Bob/Judy Dilworth dilworth at megsinet.net
Fri Nov 12 16:56:11 EST 1999


Our pathologist spoke to the ordering physician and told him he
thought it was an early form of a crab louse.  The physician did not
seem surprised and said he would treat her with the appropriate
shampoo.  I'm sorry I didn't have a picture to post, but that's where
the case has ended up.  

Thank you everyone for your postings.  I appreciate it.

Judy Dilworth, M.T. (ASCP)
Microbiology


Bob/Judy Dilworth wrote:
> 
> The director of our lab's cytology department brought a PAP smear in
> to microbiology today.  On the slide was an organism that resembled a
> louse, but it was very round with nothing sticking out and not
> elongated. The whole organism was easily visualized under 45X
> objective. I'm sorry I didn't get accurate measurements.  There were
> no visible legs, but we couldn't tell if it was curled up or not.  On
> the back end were approximately eight tiny hairs arranged singly that
> were arranged four on each side and continued up half way up the
> body.  Under oil immersion it almost looked as if it were emerging
> from some sort of egg case.
> 
> I have searched many parasitology web sites and cannot find any
> pictures of any early stages of crab lice.  It really doesn't look
> like this organism to me.  Do pubic or other lice have a larval stage
> per se?  Where might I find pictures of these if they exist?  Most of
> us in our department have only ever seen nits and adults.  We only saw
> one organism on the thin prep and they were going to make another to
> see if they could find more.
> 
> Anyone have a clue as to what this may be?  I wish I had a picture but
> I don't.  I personally think this is an incidental finding, but
> apparently the woman had some pathology that may or may not have
> something to do with this organism.
> 
> Thanks for any help.
> 
> Judy Dilworth, M.T. (ASCP)
> Microbiology




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