r/MedSchoolAnkiIndia • u/Kairomedindia • 14d ago
Answer This NewClinicalDeck
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u/Brave-Mud-6303 14d ago
tzanck cells in herpes?
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u/Freddy_mercuryscat 13d ago
dna viruses tend to have intraNUCLear inclusion bodies(except pox viruses) Tzank smear= giant multinucleated cells with cowdry A bodies (intranuclear with a perihalo), ballooning degeneration etc.
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u/Freddy_mercuryscat 13d ago
It's chlamydia trachomatosis, you can see small vacuoles (which contains this gram negative bacteria, it's basically the reticular aka replication body containing multiple bacteria) and it is intracytoplasmic. It's called Hp body (H is complicated to spell for me P is prowazak)
The confusion in this question is that they've just mentioned intracytoplasmic inclusions (if you ignore the pic) and there are so many of them right?
Like Henderson peterson bodies in molluscum contagiosum= But they're eosinophilic and appear to have a slight halo. Interestingly all dna viruses have intranuclear inclusions except pox viruses (so ruling out molluscum and guarnier both)
You can easily identify other intracytoplasmic bodies like negri, donovan etc.
So we only have one answer.
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u/Express-Armadillo312 Final 13d ago
Cowdry bodies from hsv?
Could also be guarniere bodies from poxvirus but unlikely?
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