Epithelial and white blood cells in stool. Epithelial and white blood cells are often seen in trichrome-stained stool smears and may be mistaken for amebae. Figure A: White blood Figure B: Macrophages Figure C: Epithelial cell cells in a trichrome- In a trichrome-stained Inatrichrome-stained stained stool smear. stool smear. stool smear. ‘Yeast and other fungel elements are common in stool. Depending on the size and shape, they may be confused for a variety ‘of helminth and protozoan species. Figure A: Yeast in an Figure B: Spore of a Figure C: Fungel spore iodine stained more! mushroom. Such in concentrated wet concentrated wet spores may be ‘mounts of stool. Such mount of stool. Yeast in confused for helminth spores may be ‘wet mounts may be eggs, especially confused for protozoa confused for Gieraia, oakworm. such as Giarciia or Chilomastix. Figure E:Fungalspore ina wet mount of stool. Such spores may be confused for the cysts of Entamoeba spp. Figure D: Fungal spore in concentrated wet ‘mounts of stool. Such spores may be confused for protozoa such 2s Giardia or Chitomastix.Pellen spores are very common in steel and may be confuse fora variety of helmint ages 4 4 oe ' - Rgueepolengrainin — Fgures Posznle Fgurecrollngranin gure Pollen grainin concenrated wet palen gain a algal er concentrates wet a ticwrame nines rmoune of eo0 Th fungal spore ina ‘mount of stat ‘00 specimen. Io ris inloote verysimiar —_cancentatea wet fecal pane, tne grain tothe ferieegz of mount of stool. Gexins Iooks ke the sited “secon umbriaises, hee ts one resemoie faggot Teenis a tnaugninespineike tne operculaes egge ot However, netic te strucures onthe outer Clonorchis, lack of refactiehooks, layer snould seperate “Msragonimus ara these. related These grains sreusualy smater san ‘the rematoce ex35, hewever. Image courtesy ofthe Wasnington Sate PubicHeath gure: pores pollen grin ce aigalor fungal spare, simian so Plant material and plant hairs in stoo\. Plant materialis very common in stoaland may be confused fora variety of helminth aggs and larvae, — wee Figure c: Plant nai in @ concentrated wet Fgurea Planccelting Figure B:Plancmaterial aunt steel. Plant gue: Plenchairina concentrated wet inan odinestsined pars can be common coneenveted wet ‘mount ef stool Such concentrates wet insoo! and may be ‘mount of stoal Plane material can be moure of steol. This confused for the lane hairs can be commen common instooland material can be cofokwarm or in stool and may be may be confused for confused fora Strongyloides confused forthe lsrvee hetminch eggs, hnoosworm egg. image stercoralis However, cotnockworm or though they ere courtesy of tie Aleske they are often broken Stwongyloices Usually much lerger state Public Heath atone end, havea ‘wereerati However ‘han the eggs ef most Laborstory refracte center end weyreiiten broke helminth species leckine sticures seem tone end, havea Tnhetmine® iervee refracile center and (esophagus, genital lack the strictures seem rimorcium, et) in helminth lervee. (ezophagus, genital pprimorcium, ete)Platelets. Elongated end degenerating pletelets in blood mey be confused for Trypanosoma spp. or malaria elements Figure A: Platelet ina Figure &:Plateletin a Figure C: Platelets in ‘hick bload smear. The ‘hin blood smear. The thin blood smears. The nature ofthe platelet ature of the platelet nature of the platelets gives it the appearance ives it the appearance gives them the ofa trypomastigote or of atrypomastgote or appearance ct Trypanosoma sp. Tryponesoma sp. trypomestigotes of Trypanasoms cruzi Figure D: Platelets in thin blood smeers. The nature of the platelets givesthen the ‘appesrance or trypomestigotes of, Trypanosoma cruzi Several objects may be seenin acid-fast stained stool specimens that may be confused for the cocysts oF Cryptosporidium and Cyclospora, = Figure a: Yeastin an Figure B:Yeastinan Figure C: Fungal acid-fast stained stoal acid-faststeined stool elementin an acid-fast specimen. These may specimen. These may stained stool specimen, be confused for the be confuses for the Such objects may be oocysts cf vogysts of confused for the Cryptosporidium sp. Cryptosporidium sp. oocysts of, Images courtary of the Images courtary of te Cryprospariam spp. Arizona State Public Arizona State Public Images courtery of ne Health Leboratan, Health Laberstory. Georgie Stave Public Heolth Laboratory. Figure E- Object, Figure F: Otject, probaly fungal, in an probably fungal, nan acid-fast stained stool acid-faststained stool specimen. Such objects specimen. Suen object Figure D: Fungal elementin an acid-fast steined stool specimen, Such objects may be confused for the oocysts of Cryptasparidiumsp Images courtesy of the Georgia Store Public Heoltn Laboratory.Imiscelaneous arotacs 9 00 gure & Unknown gure 6: Unknown gure c career Pagure D charcot: obenine cbjactein a formalin: Leyden engale. Tez Layoen crete. These concentieted stool concentrated st00! crystalsere the crystals are the pacimen This object specimen. although Drealicowin arecucte of —_areakiowin prectuce ot Icoke ice the egg of ‘maze abject do not ccovinophils nd maybe eesinapnis and mayos ymentepis but lacks specifically resemble ound in he feces and founa inne feces ana fefecile nooks andene any paracter of sputum of people with sputum of people with palo-flements een in humans, theie unique danueimeding tissueinvading bi nana, appearance may cause parasitic intectons or pares rections or ‘a microscopistes various allergic various atergie take notice. reactions. reections. Faure E:Diaromsin . ’ soo. Diatere da rot See specifically resemble Figure F: ite egging any parestes of ‘ormaiinconcenrratea humane, but theisize stool specimen, Mite Intestinal Parasites: Comparative Morphology Figures Figure 1: Protozoa Found in Stool Specimens of Humans: Amebae Entamoeba Entamoeba Entamoeba Endoimax —_ledamoeba ‘Stage ———“istolytca/dispar —_hartmanni —Entamceba cali’ —_polecki i “9 ©@erer -@*° @ere @°@eeoFigure 6: Relative Sizes of Helminth Eggs [Mezsurerente in mizrematers (um)Figure 4: Nematode and Cestode Eggs Found in Stool Specimens of Humans. 000008 capillaria Enterobius Trichuris Ascaris Ascaris Hookworm Trichostrongylus Philippinensis yermicularis crichiura lumbricoides lumbricoides spp. fertile infertile Cestodes Taeniaspp. Hymenolepis —_-Hymenolepis Diphyllobothrium ——_Dipylidium caninum nana diminura latum mount oocyst mount ‘mount mount safrenin sporocyst acid-fast acid-fast trichromeFigure 5: Trematode Eggs Found in Stool Specimens of Humans “Schistosoma hasmatabiam® Fasciola hepatica Fasciola bust 1. Usual found in respiratory specimens. 2 Usual pasedin urine Figure 7: Hookworm and Strongyloides Larvae Rhabdltslorm (L1) Stage Filariform (L3) Stage as Srongyoces ‘Hookeworm crawlFigure 8: Gravid Proglottids and Scoleces of Cestode Parasites of Humans. it af ZY ws Zi gy Figure 9: Adul Visceral Trematodes of Humans ae Figure 2: Protozoa Found In stool Specimens of Humans: Cillates and Flagellates hate. 40m —Fagetates, 30 um Stage Balanticiun colt Chilomastix mesrih Giardia duodenalis Dientamoeba fragils Trophozcite ost no gststage