1 / 6

Case 21

Diagnostic Challenge Pathology for Neurosurgery & Neurology Residents Department of Pathology University of Oklahoma Health Sciences Center, Oklahoma City, OK, U.S.A. Case 21

enrico
Download Presentation

Case 21

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Diagnostic ChallengePathology for Neurosurgery & Neurology ResidentsDepartment of PathologyUniversity of Oklahoma Health Sciences Center,Oklahoma City, OK, U.S.A. Case 21 History: A 68 year-old man was admitted for confusion and decreased mental status. He died later and an autopsy was performed. Author: Kar-Ming Fung, M.D., Ph.D., karming-fung@ouhsc.edu Last updtaded: 5/5/2008

  2. Paraffin Section Paraffin Section

  3. Paraffin Section Paraffin Section

  4. Acid Fast Stain

  5. What is your diagnosis?

  6. Diagnosis: Tuberculous meningitis. • Discussion: • The leptomeninges is thickened and have increased cellularity (white arrow) in the spinal cord. Many small nodules are there (black arrow) and these are granulomas. The center of the granulomas have caseous necrotic center (n). • On acid fast stain, positive bacilli are cultured out (red arrow). n

More Related