Description: Bursa of Fabricius (BF). The bursa’s follicles are demonstrated with severe to complete lymphocytic depletion, severe intrafollicular hyperplasia, and multifocal cellular necrosis and cyst formation. The interfollicular stroma is mildly expanded with lymphoplasmacytic infiltration and fibroblast hyperplasia. There is mild to moderate, multifocal, heterophilic infiltration in the interfollicular stroma and within the epithelium. The interfollicular epithelium is severely hyperplastic with numerous globular protozoal organisms (consistent with Cryptosporidium spp.) attached to the luminal epithelium surface and in the adjacent bursal lumen (lower box).
Morphologic Diagnosis: Severe, diffuse, bursal atrophy and necrosis with intralesional protozoa; bursal score - 4
Disease/Etiologic Diagnoses: 1.IBD/IBDV; 2. Cryptosporidiosis; Dr Z. Raviv.