Nocardia asteroides infection typically presents with an abscess or multiple enhancing lesions, with neutrophilic pleocytosis in the cerebrospinal fluid.
Binucleated granulocyte appeared in the stage from promyelocyte to neutrophilic band form with mostly symmetry mirror image characteristics in size and shape.
The gram stain shown here demonstrates many neutrophilic leukocytes, one of which contains gram negative intracellular diplococci indicative of Neisseria gonorrheae infection.
The extent of neutrophilic infiltrates, along with karyolysis and loss of cytoplasmic cross striations, is typical for an acute myocardial infarct of 1 to 4 days in duration from onset.