G151

Gram – Intra-abdominal abscess: yeast cells and neutrophils

HISTORY

A simulated intra-abdominal abscess smear collected from a 56 year old male post-operative, intra-abdominal, intensive care unit (ICU) patient, with sepsis was sent to category A, B, C, and C1 laboratories. Participants were expected to report the presence of neutrophils and yeast cells.

MAIN EDUCATIONAL POINTS from G151

  1. The most important educational point from this Gram smear is that in a post-surgical ICU patient the presence of yeasts in the smear should not be ignored.
  2. The incidence of yeast infections increases significantly in patients who have undergone abdominal surgical procedures.

 

Full critique (PDF)

Posted in Clinical Bacteriology Results, critiques, Gram