![bannermenu.jpg bannermenu](/dpdx/images/dpdx-2.jpg?_=00319)
Case #443 – May, 2017
A 7-year-old female who had recently moved from the Democratic Republic of Congo to the US was treated for mild, non-immune hemolytic anemia and appeared to be in stable condition. Blood smears were made and stained with Wright-Giemsa at the time of her evaluation. Figures A – K show what was observed. What is your diagnosis? Based on what criteria? What additional tests, if any, should be performed for this case?
![Case443_A Case 443](/dpdx/images/casestudies/2017/Case443_A.jpg?_=31521)
Figure A
![Case443_B Case 443](/dpdx/images/casestudies/2017/Case443_B.jpg?_=31521)
Figure B
![Case443_C Case 443](/dpdx/images/casestudies/2017/Case443_C.jpg?_=31513)
Figure C
![Case443_D Case 443](/dpdx/images/casestudies/2017/Case443_D.jpg?_=31514)
Figure D
![Case443_E Case 443](/dpdx/images/casestudies/2017/Case443_E.jpg?_=31515)
Figure E
![Case443_F Case 443](/dpdx/images/casestudies/2017/Case443_F.jpg?_=31516)
Figure F
![Case443_G Case 443](/dpdx/images/casestudies/2017/Case443_G.jpg?_=31517)
Figure G
![Case443_H Case 443](/dpdx/images/casestudies/2017/Case443_H.jpg?_=31518)
Figure H
![Case443_I Case 443](/dpdx/images/casestudies/2017/Case443_I.jpg?_=31518)
Figure I
![Case443_J Case 443](/dpdx/images/casestudies/2017/Case443_J.jpg?_=31519)
Figure J
![Case443_K Case 443](/dpdx/images/casestudies/2017/Case443_K.jpg?_=31520)
Figure K
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.
DPDx is an educational resource designed for health professionals and laboratory scientists. For an overview including prevention, control, and treatment visit www.cdc.gov/parasites/.