Healthmap is a very interesting website for epidemiologists and Infectious Disease folks. A little bit like EID and MMWR combined. But I happened to discover, quite fortuitously, an interesting case we had managed in our very unit at SGH while scanning through the website.
Follow the link. Zoom into India using the 'alerts by country' list on the left side.You see a yellow Google maps like icon on Maharashtra. Click on it, and click on the 'PRO/AH/EDR>Trypanosmoiasis -India:(Maharashtra)' link. You will get the details in a pop up window. Of the three cases reported, the water seller from Pune was the one we managed at SGH. He turned out to be a case of Trypanosoma evansii. When the news spread in the department, it had everyone rushing to the pathology room to see the promastigotes squiggling along in the peripheral blood smear amongst RBCs .It was a spectacular sight, one I had never seen before; and credit must go to the pathologist who had the insight to do a wet mount on peripheral blood, and correctly identify the morphological characteristics.It looked like sperms doing a dance amidst innocent aciliate RBCs, playing langdi and phugadi drunk on Brownian potion. It was a sight I shall never forget.
I do not know if I can divulge any details. But my residents, and all others who saw will remember.
( Image is not original. It is for representative purpose only)
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