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Plasmodium vivax: Morphology

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The early trophozoite



The earliest ring forms may be indistinguishable from other species, but during this stage the parasite tends to aquire a more irregular forms and to show signs of modification of the erythrocyte (added dots, and altered size and shape).

  • erythrocytes begin to show increased size and altered shape
  • parasites retain a ring form but may aquire a more irregular form
  • parasites are generally large - occupying up to half of the erythrocyte
  • cytoplasmic Schüffner's dots may appear at this stage, although pigment is less uncommon





The late trophozoite




The later growth stage during which parasites grow considerably and lose their ring appearance, this process is accompanied by substantial modification of the red cell and metabolism of it's haemoglobin to form malaria pigment.

  • infected erythrocytes become significantly enlarged and irregular in shape
  • parasites lose their ring appearnace becoming irregular and "amoeboid" in form
  • numerous red/purple Schüffner's dots are predent in the cytoplasm of red cells
  • malaria pigment is often present and has an irregular distribution




The schizont



The asexual form:

  • a range of maturing schizonts will generally be present within enlarged red cells
  • mature schizonts generally contain 16-24 separate merozoites
  • Schüffner's dots can be detected in any residual cytoplasm of the erythrocyte
  • Malaria pigment is visible in irregularly distributed clumps over the schizont surface




The gametocyte

The gametocyte




The sexual replication form (very distinctive).

  • very large with ovoid or distorted forms
  • macrogametocytes female may entirely fill the erythrocyte
  • microgametocytes male may have a thin cytoplasmic rim with visible schu8c3bcffneru8e28099s dots
  • pigment is clumped over the surface of the gametocyte