Is there clinically useful information in this image?
74-year-old female with fever and in poor general medical conditions.
A carefull microscopic observation of periferal blood smears can provides important information about clinical condition. So the laboratory can be the first point ob observation for a correct diagnosis, such as the case in the picture above.
Despite the poor quality of the smear and the photo, it seems that there is yeast candida?), rare but not so exceptional phenomenon in medical laboratory daily practice.
Despite the poor quality of the smear and the photo there are some blastospores of Candida (At 11 o'clock and at 16 o'clock in the picture). A subsequent blood culture resulted positive for C.Parapsilosys. I agree that this phenomenon is not exceptional but I emphasize that an immediate signaling from the laboratory to clinicians must be made, thus resulting in a possible dramatic improvement of the patient's outcome. All this because there are not situations where the presence in the PB of blastospores could be considered as "innocent"
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