Pathogen-Associated Histological Features

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Cellular FeatureAssociated PathogenDescription
Owl's eye cellsCytomegalovirus (CMV)Large cells with intracellular inclusions surrounded by a clear halo, resembling an owl's eye. Pathognomonic of CMV infection.
Decoy cellsBK virusVirally infected epithelial cells found in urine. Named for their resemblance to cancer cells, potentially causing diagnostic confusion between viral infection and urothelial malignancy.
HaufenBK virusIcosahedral aggregates of polyomavirus particles and Tamm-Horsfall protein detected in the urine of kidney transplant patients with BKVN using negative-staining electron microscopy.
Downie bodiesCowpox virusIntracytoplasmic eosinophilic inclusion bodies found in infected epithelial cells.
Negri bodiesRabies virusEosinophilic cytoplasmic inclusions found in neurons, particularly in the hippocampus and cerebellum. Considered pathognomonic for rabies infection.
Guarnieri bodiesVaccinia virus, Variola virus (smallpox)Cytoplasmic eosinophilic inclusion bodies in infected epithelial cells.
Paschen bodiesVariola virus (smallpox)Elementary bodies of smallpox virus visible under electron microscopy.
Bollinger bodiesFowlpox virusLarge intracytoplasmic inclusion bodies in infected epithelial cells of birds.
Molluscum bodiesMolluscum contagiosum virusLarge intracytoplasmic inclusion bodies (Henderson-Paterson bodies) that push the nucleus to the periphery.
Cowdry bodies type AHerpes simplex virus, Varicella-zoster virusEosinophilic intranuclear inclusion bodies surrounded by a clear halo in infected cells.
Torres bodiesYellow fever virusAcidophilic intranuclear inclusions in hepatocytes.
Cowdry bodies type BPoliovirus, AdenovirusBasophilic intranuclear inclusions without a clear halo.
Warthin–Finkeldey bodiesMeasles virus, HIVMultinucleated giant cells with eosinophilic nuclear inclusions, found in lymphoid tissues.
Lipschutz bodiesHerpes simplex virusIntranuclear eosinophilic inclusions surrounded by a clear halo, similar to Cowdry type A bodies.
Henderson-Paterson bodiesMolluscum contagiosum virusAnother name for molluscum bodies; large, intracytoplasmic viral inclusions.
Babes-Negri bodiesRabies virusDetailed name for Negri bodies; eosinophilic cytoplasmic inclusions in neurons.
Donovan bodiesKlebsiella granulomatisIntracellular rod-shaped bacteria seen in granuloma inguinale, appearing as "safety pin" structures when stained.
Michaelis-Gutmann bodiesEscherichia coli (common)Calcified intracellular inclusions seen in malakoplakia, which stain positive with von Kossa and PAS stains.
Asteroid bodiesVarious fungi (Histoplasma, Cryptococcus)Star-shaped eosinophilic structures seen in granulomas, particularly in sarcoidosis and fungal infections.
Coccidioides spherulesCoccidioides immitis/posadasiiLarge, round structures (30-60 µm) containing endospores in infected tissues.
Histoplasma capsulatumHistoplasma capsulatumSmall (2-4 µm) intracellular yeasts in macrophages, visible with silver stains (Grocott's or Gomori).
Cryptococcus neoformansCryptococcus neoformansMucicarmine-positive yeasts with clear capsular halos in tissues.
Leishman-Donovan bodiesLeishmania speciesAmastigotes (2-4 µm) of Leishmania seen within macrophages, containing a nucleus and kinetoplast.
Schüffner's dotsPlasmodium vivaxFine stippling in red blood cells infected with Plasmodium vivax, representing caveolae-vesicle complexes.
Maurer's cleftsPlasmodium falciparumCoarse dots or clefts in red blood cells infected with Plasmodium falciparum, representing parasite-derived structures.

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