José A. T. Poloni

#Urinalysis #Urinemicroscopy #Infectiousdiseases #Parasitology #Clinicalpathology #Laboratorymedicine #Clinicalanalysis @RenalFellowNtwk 🇧🇷🇮🇹

[José A. T. Poloni @JoseTesser]

@ProudTeuMeHere I believe it is a macrophage.

[José A. T. Poloni @JoseTesser]

A macrophage (blue arrow) and a binucleated decoy cell (black arrow). Binucleated decoy cells definitively are not s common finding. #urinalysis #urinesediment #kidneytransplantation #nephrology #laboratorymedicine #infectiousdiseases

[José A. T. Poloni @JoseTesser]

@Histopatolomon @malakbehnas @yro854 Morphology suggests crystals due to medication in use.

[José A. T. Poloni @JoseTesser]

@volcan85 Context of The findings is very important on this case. Looks like tubular cells, but,to have a more proper identification complementary information would be helpfull.

[José A. T. Poloni @JoseTesser]

AKI in a patient with macroscopic hematuria https://t.co/ZxpS1zH7WN

[José A. T. Poloni @JoseTesser]

@volcan85 Any complementary information? Casts (types) were also observed?

[José A. T. Poloni @JoseTesser]

@Jefiner94 Ok, Thank you for The information. I requested it because maybe you are observing macrophages. Without The polarized light filters is difficult to proper identify oval fat bodies.

[José A. T. Poloni @JoseTesser]

@jrseltzer @KisleysKidneys @rmohty @ThachLonnie @VelezNephHepato @volk_818 Looks more like cell vacuolation to my eyes. No decoy cells. Beautifull photos and video.

[José A. T. Poloni @JoseTesser]

@an_a91n @alashiri747 @zxnboy @jrseltzer Acidic ph? Looks like huuuge uric acid crystals.

[José A. T. Poloni @JoseTesser]

@VelezNephHepato @TELMALEMOS10 @CarlosMartnezF7 @TStehl1 I honestly have no idea. I would Go for artifact. But no clue on possible identification. First time observing something like this. Urine microscopy mistery!

[José A. T. Poloni @JoseTesser]

@jmteakell @jrseltzer @VelezNephHepato Its starch particles.

[José A. T. Poloni @JoseTesser]

@NPwrjbar Good question. I unfortunately have no information about it.

[José A. T. Poloni @JoseTesser]

Hematoidin crystals in CSF. Intracerebral hemorrhage. #bodilyfluidanalysis #laboratorymedicine

[José A. T. Poloni @JoseTesser]

@jrseltzer @DrGeetikaSingh1 Only based on this image I’m unable to identify. Is there other images?

[José A. T. Poloni @JoseTesser]

@mahundebah This is Alternaria spp. macroconidia. Usually a contaminant from The environment.

[José A. T. Poloni @JoseTesser]

Alternaria in the fresh and unstained urine sediment. The fungal spores can contaminate the urine from the soil and plants . #urinalysis #urinesediment

[José A. T. Poloni @JoseTesser]

@jrseltzer @HIFahmy1 @volk_818 I would fo for triple phosphate due to: size, shape, ph and characteristics under polarized light.

[Bobbi Pritt, MD @ParasiteGal]

The answer to the #ParasiteCase 728 is now up: Uric acid crystals in urine– a tricky mimic of Schistosoma haematobium eggs! Read how to differentiate them here (and below): https://t.co/rZqKyV11qu #mayopath #pathology #CrittersOnTwitter #PathBugs

In brief:
1. Uric acid crystals vary in size and shape and are often much smaller than S. haematobium eggs.
2. Uric acid crystals have points on both ends instead of the single 'pinched-off' spine of S. haematobium eggs.
3. There are no internal parasite structures (i.e., miracidium) in uric acid crystals
4. Crystals often fracture and break, and may have irregular contours.

[José A. T. Poloni @JoseTesser]

@jrseltzer @zxnboy @VelezNephHepato @ASNKidney @zeiss_micro I believe the structures on The pictures are uric acid crystals in very rare morphology.

[José A. T. Poloni @JoseTesser]

@zaheeramin1 @jrseltzer I understand. Maybe request a New sample (midstream) after hygiene (clean catch) to verify The findings.

[José A. T. Poloni @JoseTesser]

@zaheeramin1 @jrseltzer So it seems to big to be bacteria. Maybe some free life protozoa. How was The urine sample collected? Maybe it is contamined with water from some source.

[José A. T. Poloni @JoseTesser]

@jrseltzer @zaheeramin1 It will be usefull to know The magnification to proper identify The moving creatures. I’m thinking on bacteria at this moment.

[José A. T. Poloni @JoseTesser]

Mini-Atlas of Parasitology free to download (PDF) at Controllab website!!!! Português, Español or English Versions available! https://t.co/EL7T1knqO8