Code |
Diagnosis |
Comment |
Score |
anonymous |
Caseating granulomatous inflammation (100%)
|
Mycobacterial infection has to be considered. Please perform special stain and culture study for Mycobacterial and fungal infection.
|
100 |
anonymous |
Necrotizing granulomatous inflammation (100%). Possible causes include histoplasmosis, toxoplasmosis, other fungal infections and mycobacterial infections.
|
Need to perform special stains for fungi, parasites and mycobacterial organisms.
|
100 |
anonymous |
Necrotizing granulomatous inflammation, infection to be excluded. 100%
|
Special stains for infective miro-organisms to be performed, particularly fungus and acid fast bacilli. Also correlate with microbiology laboratory results.
|
100 |
anonymous |
Necrotizing granulomatous inflammation
|
Speical studies to look for infective organisms:
1) Toxoplasmosis : Giemsa stain, immunostaining;
2) Mycobacteria : ZN stain, Wade Fite stain, PCR for M. tuberculosis
3) Fungus : PASD, Grocott
|
100 |
anonymous |
NECROTIZING GRANULOMATOUS INFLAMMATION. 100%
|
Special stains eg. Grocott, PAS+D, ZN, and more sampling to look for infective organisms such as fungi, parasites, and Mycobacteria.
|
100 |
anonymous |
Histiocytic proliferation favor necrotizing granulomatous inflammation.(100%)
|
Do fungal stains, including Grocott stain, to look for fungal infection. Ziehl Neelsen and Wade Fite stains to look for mycobacterial infection. Also do S100 protein stain to exclude Rosai-Dorfman disease.
|
100 |
anonymous |
Brain - necrotizing granulomatous encephalitis 100%
|
Special stains required: Ziehl-Neelsen stain, PAS, Grocott - to look for causative organisms. The history of cervical lymphadenopathy is suggesting TB, which then spread intracranially.
|
100 |
anonymous |
Necrotizing granulomatous inflammation (100%)
|
Need to perform Gram, Grocott, Ziehl Neelsen, Warthin Starry stains to look for bacteria, fungi, acid fast bacilli and spirochetes. Also need to correlate with microbiological culture result.
|
100 |
anonymous |
Necrotizing granulomatous inflammation (100%). Infective causes including toxoplamosis and tuberculosis have to be considered.
|
Suggest Gimesa and PAS stains to look for tachyzoites and bradyzoites of Toxoplasma, Ziehl Neelsen stain for mycobacteria.
|
100 |
anonymous |
NECROTIZING GRANULOMATOUS INFLAMMATION. Suggest specific stains (PAS and Ziehl-Neelsen) for acid fast bacilli and fungus. (100%)
|
nil
|
100 |
anonymous |
Necrotizing granulomatous inflammation 100%
|
Likely infective cause: special stains for AFB (ZN) and fungus (Grocott, PAS)
|
100 |
anonymous |
Necrotizing granulomatous inflammation, of infectious etiology
Neurosarcoidosis (if organisms are excluded by special stains, etc)
|
nil
|
90 |
anonymous |
Necrotizing granulomatous lesion, favor infective. 100% Probability
|
Perform ZN, PASD, mucicarmine, grocott, Giemsa and toludine blue for organism.
|
100 |
anonymous |
Necrotising granulomatous inflammation 100%
|
Infective causes have to be considered; in particular, mycobacterial infection, fungal infection and toxoplasmosis have to be considered. Special stains including Gram, Grocott, PAS, Giemsa and Ziehl-Neelsen stains should be performed to look for microorganisms. Immunohistochemical stain for toxoplasma antigens can be performed. Correlation with microbiological studies may be helpful.
|
100 |
anonymous |
brain - granulomatous inflammation 100%
|
Special stains for infective organisms including ZN and PAS.
|
100 |