Art and Science of Laboratory Medicine

Art and Science of Laboratory Medicine

Wednesday, December 30, 2015

Gram Stain Challenge

Case: 68 years old lady from Dublin, Ireland has high fever and bad headace. She is very weak and she has lost her appetite. Family doctor sent her to the hospital for tests. Cerebrospinal fluid sample was taken and gram stain was made immediately. Findings are in the image below.

What are the findings in this CSF gram stain?

Correct answeris below the image.

(Click the image to enlarge)

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CORRECT ANSWER: PMNs 3+, no microbes

This image is very sharp (look at the neutrophils). If there would be any bacteria or fungus, those would be clearly visible.

6 comments:

Ashok kumar sah said...

Neutrophils

Unknown said...

Polimorps and gram positive cocci ..?not clear

Thérèse Cloutier said...
This comment has been removed by the author.
Wahyu Abri said...
This comment has been removed by the author.
Wahyu Abri said...

I guess..Polimorp and gram negative diplocooci. Right???

J.JENITA jenita said...

I m also think gram negative diplococci

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