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APICOMPLEXA Plasmodium species
Kingdom Protista Subkingdom Protozoa Phylum Apicomplexa Class Sporozoasida Order Eucoccidiorida Family Plasmodiidae Genus Plasmodium Species falciparum, malariae, ovale, vivax
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General endo-erythrocytic
Mature ring trophozoite Marginal trophozoite RBC Early ring trophozoite General endo-erythrocytic Life Cycle Mature trophozoite Immature Schizont Merozoites Schizont Micro- gametocyte Macro- gametocyte Mature Schizont
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In mosquito (final host)
Gametocytes(♀♂) gametes (♀♂) (blood) (stomach of insect) union of zygote sporozoites oocyst motile ookinete (Salivary glands) ( the body cavity side)
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# of merozoites in schizont 8-24 16-24 6-12 4-16
Schuffner’s dots Hemozoin granules Micro Macro P.f Trophozoites of P. m P.v P. falciparum P. vivax P. malariae P. ovale Schuffner’s dots No Yes, fine Yes, large Size of infected RBC Normal Enlarged Smaller to normal # of merozoites in schizont 8-24 16-24 6-12 4-16 Gametocyte Crescent Round or oval Round Fever periodicity ~48 hours 48 hours 72 hours
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P. vivax schizont with merozoites P. vivax female gametocyte
P. vivax early trophozoite P. vivax older ameboid trophozoite Early schizont Mature schizont P. vivax schizont with merozoites P. vivax female gametocyte
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P. malariae band form trophozoite
P. malariae ring trophozoite P. malariae schizont P. malariae microgametocyte
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Plasmodium falciparum diagnostic stages
Macrogametocytes (♀) Immature Mature Microgametocytes (♂) Immature Mature Very young ring trophozoite 3 medium trophozoites Marginal trophozoites In a blood smear diagnostic stages of falciparum are cigar shaped gametocytes (top row) and the small ring (trophozoite) stages (bottom row). No other stages are seen.
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Thin vs. Thick A thick blood smear is a drop of blood on a glass slide. Thick blood smears are most useful for detecting the presence of parasites because they examine a larger sample of blood. (Often there are few parasites in the blood at the time the test is done.) A thin blood smear is a drop of blood that is spread across a large area of the slide. Thin blood smears helps doctors discover what species of malaria is causing the infection.
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