Case of the Week 602
This week's case was generously donated by Dr. Harsha Sheorey. The following object was submitted from a middle-aged man with hematuria. The specimen source is urine, and accompanying instructions asked the laboratory to rule out a fluke or cestode. The patient had traveled to Southeast Asia in the past. What's the identification? What are the clinical implications for this patient?
Read Dr. Pritt's blog, Parasite Wonders, and submit your answers, comments, and questions. Also, visit her website ParasiteWonders.com, which hosts an archive of classic images from cases Dr. Pritt posted going back to 2007 (in an easy-to-search "A through Z" format) and also offers a flashcard feature.
Insect larva, consistent with a member of the Psychodidae (drain/sewer fly) larva.