<?xml version="1.0"?>
<feed xmlns="http://www.w3.org/2005/Atom" xml:lang="en-GB">
	<id>https://haematologyetc.co.uk/api.php?action=feedcontributions&amp;feedformat=atom&amp;user=Admin</id>
	<title>haematologyetc.co.uk - User contributions [en-gb]</title>
	<link rel="self" type="application/atom+xml" href="https://haematologyetc.co.uk/api.php?action=feedcontributions&amp;feedformat=atom&amp;user=Admin"/>
	<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Special:Contributions/Admin"/>
	<updated>2026-04-20T11:11:26Z</updated>
	<subtitle>User contributions</subtitle>
	<generator>MediaWiki 1.39.0</generator>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Plasmodium_ovale:_Morphology&amp;diff=6567</id>
		<title>Plasmodium ovale: Morphology</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Plasmodium_ovale:_Morphology&amp;diff=6567"/>
		<updated>2024-12-13T19:25:06Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;(click blue highlighted text to return to page)&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;[[Malaria Index|Malaria main index]]&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;[[Species identification: summary page]]&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;This page: &amp;lt;u&amp;gt;''P.ovale'': morphology&amp;lt;/u&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-style: solid; border-width: 5px; border-color: #023020; color:black&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:100%; color:black; background: CBD5CO |'''The early trophozoite'''&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:POETc.jpg|link={{filepath:POETc.jpg}}&lt;br /&gt;
File:POET main.jpg|link={{filepath:POET main.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
&amp;lt;br clear=all&amp;gt;&lt;br /&gt;
This early growth stage has mainly large sized ring forms, but also begins to acquire characteristic features of the species.&lt;br /&gt;
*Large and robust-appearing [[rings]], not usually multiply infected&lt;br /&gt;
*Red cells may become enlarged and may be ovoid or have a [[fimbriated]] apearance&lt;br /&gt;
*[[James' dots]] (indistinguishable from Schuffner’s dots) often appear&lt;br /&gt;
*Pigment will not generally be present at the early trophozoite stage&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&amp;lt;div style=&amp;quot;width: 350px&amp;quot;&amp;gt;&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-left:solid 4px navy;border-right:solid 4px navy;border-top:solid 4px navy;border-bottom:solid 4px navy; font-size:90%; color:navy; align:center&amp;quot;&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot;''|[[P.ovale early trophozoites gallery|Click for ''P.ovale'' early trophozoite gallery]]''&lt;br /&gt;
|}&lt;br /&gt;
&amp;lt;/div&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-style: solid; border-width: 5px; border-color: #023020; color:black&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:100%; color:black; background: CBD5CO |'''The late trophozoite'''&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:POLTc.jpg|link={{filepath:POLTc.jpg}}&lt;br /&gt;
File:POLT main.jpg|link={{filepath:POLT main.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
&amp;lt;br clear=all&amp;gt;&lt;br /&gt;
&lt;br /&gt;
 &lt;br /&gt;
&lt;br /&gt;
During this growth stage parasites grows but generally retain a ring shape, this process is accompanied by further modification of the red cell with ovoid and fimbriated features more common; metabolism of haemoglobin causes malaria pigment to form. &lt;br /&gt;
 &lt;br /&gt;
*Parasites become larger and thickened, but the ring form is generally retained&lt;br /&gt;
*[[Red cell enlargement]] is seen and distortion causing ovoid and [[fimbriated]] forms&lt;br /&gt;
*[[James’ dots]] will now be prominent in appropriately stained specimens&lt;br /&gt;
*[[Pigment]] will now be seen over the surface of the parasite&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&amp;lt;div style=&amp;quot;width: 350px&amp;quot;&amp;gt;&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-left:solid 4px navy;border-right:solid 4px navy;border-top:solid 4px navy;border-bottom:solid 4px navy; font-size:90%; color:navy; align:center&amp;quot;&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot;''|[[P.ovale late trophozoites gallery|Click for ''P.ovale'' late trophozoite gallery]]''&lt;br /&gt;
|}&lt;br /&gt;
&amp;lt;/div&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-style: solid; border-width: 5px; border-color: #023020; color:black&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:100%; color:black; background: CBD5CO |'''The schizont'''&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PVSc.jpg|link={{filepath:PFSc.jpg}}&lt;br /&gt;
File:POS main.jpg|link={{filepath:POS main.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
&amp;lt;br clear=all&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The asexual stage of [[malaria parasite development]] - only some trophozoites form schizonts, but those that do undergo successive cycles of replication within the red cell to generate multiple [[&amp;quot;merozoites&amp;quot;]] that then each invade a new red cell to continue and increase the infection.&lt;br /&gt;
&lt;br /&gt;
*A range of [[maturing schizonts]] will generally be present within moderately enlarged red cells &lt;br /&gt;
*When mature schizonts may contain 16-24 separate [[merozoites]] &lt;br /&gt;
*[[James' dots]] can be detected in any residual cytoplasm of the erythrocyte &lt;br /&gt;
*[[Malaria pigment|malaria pigment]] is visible in irregularly distributed clumps over the schizont surface&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&amp;lt;div style=&amp;quot;width: 350px&amp;quot;&amp;gt;&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-left:solid 4px navy;border-right:solid 4px navy;border-top:solid 4px navy;border-bottom:solid 4px navy; font-size:90%; color:navy; align:center&amp;quot;&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot;''|[[P.ovale schizont gallery|Click for ''P.ovale'' schizont gallery]]''&lt;br /&gt;
|}&lt;br /&gt;
&amp;lt;/div&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
'''The gametocyte'''&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-style: solid; border-width: 5px; border-color: #023020; color:black&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:100%; color:black; background: CBD5CO |'''The gametocyte'''&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:POGc.jpg|link={{filepath:POGc.jpg}}&lt;br /&gt;
File:POG main.jpg|link={{filepath:POG main.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
&amp;lt;br clear=all&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
The sexual replication form (very distinctive).&lt;br /&gt;
&lt;br /&gt;
*Red cells are very large and have ovoid or distorted forms &lt;br /&gt;
*[[Macrogametocytes]] (female form) will often entirely fill the erythrocyte &lt;br /&gt;
*[[Microgametocytes]] (male form) have a cytoplasmic rim with visible Schüffner's dots&lt;br /&gt;
*[[Malaria pigment|malaria pigment]] is clumped evenly over the surface of the gametocyte&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&amp;lt;div style=&amp;quot;width: 350px&amp;quot;&amp;gt;&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-left:solid 4px navy;border-right:solid 4px navy;border-top:solid 4px navy;border-bottom:solid 4px navy; font-size:90%; color:navy; align:center&amp;quot;&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot;''|[[P.ovale gametocyte gallery|Click for ''P.ovale'' gametocyte gallery]]''&lt;br /&gt;
|}&lt;br /&gt;
&amp;lt;/div&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Plasmodium_falciparum:_Morphology&amp;diff=6566</id>
		<title>Plasmodium falciparum: Morphology</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Plasmodium_falciparum:_Morphology&amp;diff=6566"/>
		<updated>2024-12-05T08:33:55Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;(click blue highlighted text to return to page)&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;[[Malaria Index|Malaria main index]]&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;[[Species identification: summary page]]&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-style: solid; border-width: 5px; border-color: #023020; color:black&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:100%; color:black; background: CBD5CO |'''The early trophozoite'''&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PFETc.jpg|link={{filepath:PFETc.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
&amp;lt;br clear=all&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
The earliest growth stage, this is characterised by fine ring forms and few other changes, this may be the only form seen in this species:&lt;br /&gt;
  &lt;br /&gt;
*[[Ring forms]] are fine and delicate and may be the sole form ([[synchronicity]])&lt;br /&gt;
*Frequently the red cells contain [[multiple parasites]] &lt;br /&gt;
*Parasites may have a distinctive [[Double chromatin dot forms|&amp;quot;double dot&amp;quot;]] or signet ring form&lt;br /&gt;
*Parasites may appear on the [[Accolé form|accolé forms]] that appear flattened against the cell membrane&lt;br /&gt;
*Affected red cells have normal size and haemoglobin content&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&amp;lt;div style=&amp;quot;width: 350px&amp;quot;&amp;gt;&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-left:solid 4px navy;border-right:solid 4px navy;border-top:solid 4px navy;border-bottom:solid 4px navy; font-size:90%; color:navy; align:center&amp;quot;&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot;''|[[P.falciparum early trophozoites gallery|Click for ''P.falciparum'' early trophozoite gallery]]''&lt;br /&gt;
|}&lt;br /&gt;
&amp;lt;/div&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-style: solid; border-width: 5px; border-color: #023020; color:black&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:100%; color:black; background: CBD5CO |'''The late trophozoite'''&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PFLTc.jpg|link={{filepath:PFLTc.jpg}}&lt;br /&gt;
File:PFLT-main image.jpg|link={{filepath:PFLT-main_image.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
&amp;lt;br clear=all&amp;gt;&lt;br /&gt;
&lt;br /&gt;
 &lt;br /&gt;
&lt;br /&gt;
The later growth stage where parasites begin to modify the erythrocyte, causing characteristic changes with added dots and minr changes to red cell form:&lt;br /&gt;
 &lt;br /&gt;
*Parasites resemble early ring forms, but are thicker and may be slightly larger&lt;br /&gt;
*Additional blue/grey dots and clefts are seen in red cell cytoplasm when [[stained correctly]] &lt;br /&gt;
*These dots have low number a characteristic &amp;quot;dot&amp;quot; or &amp;quot;line&amp;quot; form [[Maurer's dots and clefts]]&lt;br /&gt;
*[[Red cell size and shape|Size and shape]] of infected red cells is usually unaffected, but may become crenated&lt;br /&gt;
*The [[Double chromatin dot forms|double dot]], [[Accolé form| accolé]], and [[multiple parasites|multiple parasite]] forms remain present&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&amp;lt;div style=&amp;quot;width: 350px&amp;quot;&amp;gt;&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-left:solid 4px navy;border-right:solid 4px navy;border-top:solid 4px navy;border-bottom:solid 4px navy; font-size:90%; color:navy; align:center&amp;quot;&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot;''|[[P.falciparum late trophozoites gallery|Click for ''P.falciparum'' late trophozoite gallery]]''&lt;br /&gt;
|}&lt;br /&gt;
&amp;lt;/div&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-style: solid; border-width: 5px; border-color: #023020; color:black&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:100%; color:black; background: CBD5CO |'''The schizont'''&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PFSc.jpg|link={{filepath:PFSc.jpg}}&lt;br /&gt;
File:PFS-main image 2.jpg|link={{filepath:PFS-main_image 2.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
&amp;lt;br clear=all&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The schizont is the asexual form of the malaria parasite in blood - for a detailed description see the &amp;quot;Biology of malaria&amp;quot; section in the main menu:&lt;br /&gt;
&lt;br /&gt;
*'''Do not generally circulate in this species unless overwhelming infection'''&lt;br /&gt;
*The merozoites cluster &amp;quot;untidily&amp;quot; as they develop &lt;br /&gt;
*[[Biology of the schizont|Schizonts]] develop progressively to form 8-16 merozoites when mature&lt;br /&gt;
*In this species the loose [[Malaria pigment|malaria pigment]] may be seen in clumps between the parasites&lt;br /&gt;
*Red cell size is generally unaffected but red cells become pale as haemoglobin is metabolised by the parasites&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&amp;lt;div style=&amp;quot;width: 350px&amp;quot;&amp;gt;&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-left:solid 4px navy;border-right:solid 4px navy;border-top:solid 4px navy;border-bottom:solid 4px navy; font-size:90%; color:navy; align:center&amp;quot;&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot;''|[[P.falciparum schizont gallery|Click for ''P.falciparum'' schizont gallery]]''&lt;br /&gt;
|}&lt;br /&gt;
&amp;lt;/div&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
'''The gametocyte'''&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-style: solid; border-width: 5px; border-color: #023020; color:black&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:100%; color:black; background: CBD5CO |'''The gametocyte'''&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PFGc.jpg|link={{filepath:PFGc.jpg}}&lt;br /&gt;
File:PFG-main image.jpg|link={{filepath:PFG-main_image.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
&amp;lt;br clear=all&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
The sexual replication form (very distinctive).&lt;br /&gt;
&lt;br /&gt;
*male and femaie [[Gametocyte develpment|gametocytes]] are elongated and have the appearance of rods  &lt;br /&gt;
*They parasites are rod shaped but the membrane may cause them to curve into a “[[Banana gametocyte|&amp;quot;banana&amp;quot; form]]”&lt;br /&gt;
*The residual membrane (empty of haemoglobin) is often seen as a &amp;quot;blister&amp;quot; to the side of the parasite&lt;br /&gt;
*The single chromatin area is in the centre of the parasite, often has [[Malaria pigment|pigment]] overlying it&lt;br /&gt;
*Gametocytes may not be be seen, or may be the only form present (particularly after treatment)&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&amp;lt;div style=&amp;quot;width: 350px&amp;quot;&amp;gt;&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-left:solid 4px navy;border-right:solid 4px navy;border-top:solid 4px navy;border-bottom:solid 4px navy; font-size:90%; color:navy; align:center&amp;quot;&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot;''|[[P.falciparum gametocyte gallery|Click for ''P.falciparum'' gametocyte gallery]]''&lt;br /&gt;
|}&lt;br /&gt;
&amp;lt;/div&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Plasmodium_falciparum:_Morphology&amp;diff=6565</id>
		<title>Plasmodium falciparum: Morphology</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Plasmodium_falciparum:_Morphology&amp;diff=6565"/>
		<updated>2024-12-05T08:33:25Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;(click blue highlighted text to return to page)&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;[[Malaria Index|Malaria main index]]&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;[[Species identification: summary page]]&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-style: solid; border-width: 5px; border-color: #023020; color:black&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:100%; color:black; background: CBD5CO |'''The early trophozoite'''&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PFETc.jpg|link={{filepath:PFETc.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
&amp;lt;br clear=all&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
The earliest growth stage, this is characterised by fine ring forms and few other changes, this may be the only form seen in this species:&lt;br /&gt;
  &lt;br /&gt;
*[[Ring forms]] are fine and delicate and may be the sole form [[synchronicity]]&lt;br /&gt;
*Frequently the red cells contain [[multiple parasites]] &lt;br /&gt;
*Parasites may have a distinctive [[Double chromatin dot forms|&amp;quot;double dot&amp;quot;]] or signet ring form&lt;br /&gt;
*Parasites may appear on the [[Accolé form|accolé forms]] that appear flattened against the cell membrane&lt;br /&gt;
*Affected red cells have normal size and haemoglobin content&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&amp;lt;div style=&amp;quot;width: 350px&amp;quot;&amp;gt;&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-left:solid 4px navy;border-right:solid 4px navy;border-top:solid 4px navy;border-bottom:solid 4px navy; font-size:90%; color:navy; align:center&amp;quot;&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot;''|[[P.falciparum early trophozoites gallery|Click for ''P.falciparum'' early trophozoite gallery]]''&lt;br /&gt;
|}&lt;br /&gt;
&amp;lt;/div&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-style: solid; border-width: 5px; border-color: #023020; color:black&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:100%; color:black; background: CBD5CO |'''The late trophozoite'''&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PFLTc.jpg|link={{filepath:PFLTc.jpg}}&lt;br /&gt;
File:PFLT-main image.jpg|link={{filepath:PFLT-main_image.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
&amp;lt;br clear=all&amp;gt;&lt;br /&gt;
&lt;br /&gt;
 &lt;br /&gt;
&lt;br /&gt;
The later growth stage where parasites begin to modify the erythrocyte, causing characteristic changes with added dots and minr changes to red cell form:&lt;br /&gt;
 &lt;br /&gt;
*Parasites resemble early ring forms, but are thicker and may be slightly larger&lt;br /&gt;
*Additional blue/grey dots and clefts are seen in red cell cytoplasm when [[stained correctly]] &lt;br /&gt;
*These dots have low number a characteristic &amp;quot;dot&amp;quot; or &amp;quot;line&amp;quot; form [[Maurer's dots and clefts]]&lt;br /&gt;
*[[Red cell size and shape|Size and shape]] of infected red cells is usually unaffected, but may become crenated&lt;br /&gt;
*The [[Double chromatin dot forms|double dot]], [[Accolé form| accolé]], and [[multiple parasites|multiple parasite]] forms remain present&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&amp;lt;div style=&amp;quot;width: 350px&amp;quot;&amp;gt;&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-left:solid 4px navy;border-right:solid 4px navy;border-top:solid 4px navy;border-bottom:solid 4px navy; font-size:90%; color:navy; align:center&amp;quot;&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot;''|[[P.falciparum late trophozoites gallery|Click for ''P.falciparum'' late trophozoite gallery]]''&lt;br /&gt;
|}&lt;br /&gt;
&amp;lt;/div&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-style: solid; border-width: 5px; border-color: #023020; color:black&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:100%; color:black; background: CBD5CO |'''The schizont'''&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PFSc.jpg|link={{filepath:PFSc.jpg}}&lt;br /&gt;
File:PFS-main image 2.jpg|link={{filepath:PFS-main_image 2.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
&amp;lt;br clear=all&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The schizont is the asexual form of the malaria parasite in blood - for a detailed description see the &amp;quot;Biology of malaria&amp;quot; section in the main menu:&lt;br /&gt;
&lt;br /&gt;
*'''Do not generally circulate in this species unless overwhelming infection'''&lt;br /&gt;
*The merozoites cluster &amp;quot;untidily&amp;quot; as they develop &lt;br /&gt;
*[[Biology of the schizont|Schizonts]] develop progressively to form 8-16 merozoites when mature&lt;br /&gt;
*In this species the loose [[Malaria pigment|malaria pigment]] may be seen in clumps between the parasites&lt;br /&gt;
*Red cell size is generally unaffected but red cells become pale as haemoglobin is metabolised by the parasites&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&amp;lt;div style=&amp;quot;width: 350px&amp;quot;&amp;gt;&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-left:solid 4px navy;border-right:solid 4px navy;border-top:solid 4px navy;border-bottom:solid 4px navy; font-size:90%; color:navy; align:center&amp;quot;&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot;''|[[P.falciparum schizont gallery|Click for ''P.falciparum'' schizont gallery]]''&lt;br /&gt;
|}&lt;br /&gt;
&amp;lt;/div&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
'''The gametocyte'''&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-style: solid; border-width: 5px; border-color: #023020; color:black&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:100%; color:black; background: CBD5CO |'''The gametocyte'''&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PFGc.jpg|link={{filepath:PFGc.jpg}}&lt;br /&gt;
File:PFG-main image.jpg|link={{filepath:PFG-main_image.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
&amp;lt;br clear=all&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
The sexual replication form (very distinctive).&lt;br /&gt;
&lt;br /&gt;
*male and femaie [[Gametocyte develpment|gametocytes]] are elongated and have the appearance of rods  &lt;br /&gt;
*They parasites are rod shaped but the membrane may cause them to curve into a “[[Banana gametocyte|&amp;quot;banana&amp;quot; form]]”&lt;br /&gt;
*The residual membrane (empty of haemoglobin) is often seen as a &amp;quot;blister&amp;quot; to the side of the parasite&lt;br /&gt;
*The single chromatin area is in the centre of the parasite, often has [[Malaria pigment|pigment]] overlying it&lt;br /&gt;
*Gametocytes may not be be seen, or may be the only form present (particularly after treatment)&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&amp;lt;div style=&amp;quot;width: 350px&amp;quot;&amp;gt;&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-left:solid 4px navy;border-right:solid 4px navy;border-top:solid 4px navy;border-bottom:solid 4px navy; font-size:90%; color:navy; align:center&amp;quot;&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot;''|[[P.falciparum gametocyte gallery|Click for ''P.falciparum'' gametocyte gallery]]''&lt;br /&gt;
|}&lt;br /&gt;
&amp;lt;/div&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Galleries&amp;diff=6564</id>
		<title>Galleries</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Galleries&amp;diff=6564"/>
		<updated>2024-11-27T11:35:36Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
[[Malaria Index|Return to malaria index]]&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
'''1. Galleries organised according to parasite developmental stage'''&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
A. Gallery of early trophozoite forms [[Gallery_of_early_trophozoites|Click to Enter]]&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Galleries&amp;diff=6563</id>
		<title>Galleries</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Galleries&amp;diff=6563"/>
		<updated>2024-11-27T11:35:22Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
[[Malaria Index|Return to malaria index]]&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
'''1. Galleries organised according to parasite developmental stage'''&lt;br /&gt;
&lt;br /&gt;
A. Gallery of early trophozoite forms [[Gallery_of_early_trophozoites|Click to Enter]]&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Galleries&amp;diff=6562</id>
		<title>Galleries</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Galleries&amp;diff=6562"/>
		<updated>2024-11-27T11:34:15Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
[[Malaria Index|Return to malaria index]]&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
'''1. Galleries organised according to parasite developmental stage'''&lt;br /&gt;
[[Gallery_of_early_trophozoites]]&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Galleries&amp;diff=6561</id>
		<title>Galleries</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Galleries&amp;diff=6561"/>
		<updated>2024-11-27T11:33:20Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
[[Malaria Index|Return to malaria index]]&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
'''1. Galleries organised according to parasite developmental stage'''&lt;br /&gt;
&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Galleries&amp;diff=6560</id>
		<title>Galleries</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Galleries&amp;diff=6560"/>
		<updated>2024-11-27T11:33:07Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
[[Malaria Index|Return to malaria index]]&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
'''1. Galleries organised according to parasite deveopmental stage'''&lt;br /&gt;
&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6559</id>
		<title>Gallery of early trophozoites</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6559"/>
		<updated>2024-11-27T11:30:58Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
[[Galleries|Go Back]]&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;'''General Comments:''' At the very earliest point all trophozoites appear as ring forms and species differences are very difficult to distinguish - some &amp;quot;species specific&amp;quot; features may appear as parasites mature toward late trophozoite stages.&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
 &lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;''' ''P.falciparum'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Small delicate rings, and these '''may be the only forms seen in some patients at diagnosis'''. Infected red cells have normal (or slightly crenated) appearance.&amp;lt;/br&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery heights=200px widths=200px&amp;gt;&lt;br /&gt;
File:PFET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine ring form&amp;lt;/span&amp;gt;|link={{filepath:PFET1g.jpg}}&lt;br /&gt;
File:PFET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot form and normal ring&amp;lt;/span&amp;gt;|link={{filepath:PFET2g.jpg}}&lt;br /&gt;
File:PFET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé and double dot forms&amp;lt;/span&amp;gt;|link={{filepath:PFET3g.jpg}}&lt;br /&gt;
File:PFET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple parasite form&amp;lt;/span&amp;gt;|link={{filepath:PFET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.vivax'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Rings begin as small forms, but become larger asociated with enlarged distorted red cells as they develop. Schüffner's  dots will become present&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery heights=200px widths=200px&amp;gt;&lt;br /&gt;
File:PVET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:PVET1g.jpg}}&lt;br /&gt;
File:PVET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form with faint dots&amp;lt;/span&amp;gt;|link={{filepath:PVET2g.jpg}}&lt;br /&gt;
File:PVET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Llarge thickened ring trophozoite&amp;lt;/span&amp;gt;|link={{filepath:PVET3g.jpg}}&lt;br /&gt;
File:PVET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Distorted ting trophozoite and red cell, marked Schüffner's  dots&amp;lt;/span&amp;gt;|link={{filepath:PVET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;''' ''P.ovale'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Ring form is retained but enlarges, red cells may develop fimbriation and enlarged ovoid form with visible James' dots.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:POET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:POET1g.jpg}}&lt;br /&gt;
File:POET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring with dots/fimbriation&amp;lt;/span&amp;gt;|link={{filepath:POET2g.jpg}}&lt;br /&gt;
File:POET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;faint Ziemann's dots&amp;lt;/span&amp;gt;|link={{filepath:POET3g.jpg}}&lt;br /&gt;
File:POET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring early ovoid change&amp;lt;/span&amp;gt;|link={{filepath:POET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;''' ''P.malariae'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Infected red cells are generally infrequent. Early trophozoites are small in normal or small erythrocytes, and may have central chromatin dot, elongation or angular forms.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:MET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring form in small red cell&amp;lt;/span&amp;gt;|link={{filepath:MET1g.jpg}}&lt;br /&gt;
File:MET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;The central chromatin dot&amp;lt;/span&amp;gt;|link={{filepath:MET2g.jpg}}&lt;br /&gt;
File:PMET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early elongation, Stinton's dots&amp;lt;/span&amp;gt;|link={{filepath:MET3g.jpg}}&lt;br /&gt;
File:MET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early angularity of form&amp;lt;/span&amp;gt;|link={{filepath:MET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;''' ''P.knowlesi'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;The early trophozoite may resembles ''P.falciparum'' and infected cells may be frequent. Later forms however begin to resemble parasites of ''P.malariae''.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PKET1.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine early rings&amp;lt;/span&amp;gt;|link={{filepath:PKET1.jpg}}&lt;br /&gt;
File:PKET2a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot (right)&amp;lt;/span&amp;gt;|link={{filepath:PKET2a.jpg}}&lt;br /&gt;
File:PKET3a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé form&amp;lt;/span&amp;gt;|link={{filepath:PKET3a.jpg}}&lt;br /&gt;
File:PKET4a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple infection&amp;lt;/span&amp;gt;|link={{filepath:PKET4a.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6558</id>
		<title>Gallery of early trophozoites</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6558"/>
		<updated>2024-11-27T11:30:31Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
[[Galleries|Go Back]]&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;'''General Comments:''' At the very earliest point all trophozoites appear as ring forms and species differences are very difficult to distinguish - some &amp;quot;species specific&amp;quot; features may appear as parasites mature toward late trophozoite stages.&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
 &lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;''' ''P.falciparum'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Small delicate rings, and these '''may be the only forms seen in some patients at diagnosis'''. Infected red cells have normal (or slightly crenated) appearance.&amp;lt;/br&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery heights=200px widths=200px&amp;gt;&lt;br /&gt;
File:PFET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine ring form&amp;lt;/span&amp;gt;|link={{filepath:PFET1g.jpg}}&lt;br /&gt;
File:PFET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot form and normal ring&amp;lt;/span&amp;gt;|link={{filepath:PFET2g.jpg}}&lt;br /&gt;
File:PFET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé and double dot forms&amp;lt;/span&amp;gt;|link={{filepath:PFET3g.jpg}}&lt;br /&gt;
File:PFET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple parasite form&amp;lt;/span&amp;gt;|link={{filepath:PFET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.vivax'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Rings begin as small forms, but become larger asociated with enlarged distorted red cells as they develop. Schüffner's  dots will become present&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery heights=200px widths=200px&amp;gt;&lt;br /&gt;
File:PVET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:PVET1g.jpg}}&lt;br /&gt;
File:PVET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form with faint dots&amp;lt;/span&amp;gt;|link={{filepath:PVET2g.jpg}}&lt;br /&gt;
File:PVET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Llarge thickened ring trophozoite&amp;lt;/span&amp;gt;|link={{filepath:PVET3g.jpg}}&lt;br /&gt;
File:PVET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Distorted ting trophozoite and red cell, marked Schüffner's  dots&amp;lt;/span&amp;gt;|link={{filepath:PVET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;''' ''P.ovale'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Ring form is retained but enlarges, red cells may develop fimbriation and enlarged ovoid form with visible James' dots.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:POET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:POET1g.jpg}}&lt;br /&gt;
File:POET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring with dots/fimbriation&amp;lt;/span&amp;gt;|link={{filepath:POET2g.jpg}}&lt;br /&gt;
File:POET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;faint Ziemann's dots&amp;lt;/span&amp;gt;|link={{filepath:POET3g.jpg}}&lt;br /&gt;
File:POET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring early ovoid change&amp;lt;/span&amp;gt;|link={{filepath:POET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;''' ''P.malariae'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Infected red cells are generally infrequent. Early trophozoites are small in normal or small erythrocytes, and may have central chromatin dot, elongation or angular forms.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:MET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring form in small red cell&amp;lt;/span&amp;gt;|link={{filepath:MET1g.jpg}}&lt;br /&gt;
File:MET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;The central chromatin dot&amp;lt;/span&amp;gt;|link={{filepath:MET2g.jpg}}&lt;br /&gt;
File:PMET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early elongation, Stinton's dots&amp;lt;/span&amp;gt;|link={{filepath:MET3g.jpg}}&lt;br /&gt;
File:MET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early angularity of form&amp;lt;/span&amp;gt;|link={{filepath:MET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;''' ''P.knowlesi'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;The early trophozoite may resembles ''P.falciparum'' and infected cells amy be frequent. Later forms however begin to resemble parasites of ''P.malariae''.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PKET1.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine early rings&amp;lt;/span&amp;gt;|link={{filepath:PKET1.jpg}}&lt;br /&gt;
File:PKET2a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot (right)&amp;lt;/span&amp;gt;|link={{filepath:PKET2a.jpg}}&lt;br /&gt;
File:PKET3a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé form&amp;lt;/span&amp;gt;|link={{filepath:PKET3a.jpg}}&lt;br /&gt;
File:PKET4a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple infection&amp;lt;/span&amp;gt;|link={{filepath:PKET4a.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6557</id>
		<title>Gallery of early trophozoites</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6557"/>
		<updated>2024-11-27T11:28:28Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
[[Galleries|Go Back]]&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;'''General Comments:''' At the very earliest point all trophozoites appear as ring forms and species differences are very difficult to distinguish - some &amp;quot;species specific&amp;quot; features may appear as parasites mature toward late trophozoite stages.&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
 &lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;''' ''P.falciparum'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Small delicate rings, and these '''may be the only forms seen in some patients at diagnosis'''. Infected red cells have normal (or slightly crenated) appearance.&amp;lt;/br&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery heights=200px widths=200px&amp;gt;&lt;br /&gt;
File:PFET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine ring form&amp;lt;/span&amp;gt;|link={{filepath:PFET1g.jpg}}&lt;br /&gt;
File:PFET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot form and normal ring&amp;lt;/span&amp;gt;|link={{filepath:PFET2g.jpg}}&lt;br /&gt;
File:PFET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé and double dot forms&amp;lt;/span&amp;gt;|link={{filepath:PFET3g.jpg}}&lt;br /&gt;
File:PFET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple parasite form&amp;lt;/span&amp;gt;|link={{filepath:PFET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.vivax'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Rings begin as small forms, but become larger asociated with enlarged distorted red cells as they develop. Schüffner's  dots will become present&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery heights=200px widths=200px&amp;gt;&lt;br /&gt;
File:PVET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:PVET1g.jpg}}&lt;br /&gt;
File:PVET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form with faint dots&amp;lt;/span&amp;gt;|link={{filepath:PVET2g.jpg}}&lt;br /&gt;
File:PVET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Llarge thickened ring trophozoite&amp;lt;/span&amp;gt;|link={{filepath:PVET3g.jpg}}&lt;br /&gt;
File:PVET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Distorted ting trophozoite and red cell, marked Schüffner's  dots&amp;lt;/span&amp;gt;|link={{filepath:PVET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;''' ''P.ovale'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Ring form is retained but enlarges, red cells may develop fimbriation and enlarged ovoid form with visible James' dots.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:POET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:POET1g.jpg}}&lt;br /&gt;
File:POET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring with dots/fimbriation&amp;lt;/span&amp;gt;|link={{filepath:POET2g.jpg}}&lt;br /&gt;
File:POET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;faint Ziemann's dots&amp;lt;/span&amp;gt;|link={{filepath:POET3g.jpg}}&lt;br /&gt;
File:POET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring early ovoid change&amp;lt;/span&amp;gt;|link={{filepath:POET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;''' ''P.malariae'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Infected red cells are generally infrequent. Early trophozoites are small in normal or small erythrocytes, and may have central chromatin dot, elongation or angular forms.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:MET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring form in small red cell&amp;lt;/span&amp;gt;|link={{filepath:MET1g.jpg}}&lt;br /&gt;
File:MET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;The central chromatin dot&amp;lt;/span&amp;gt;|link={{filepath:MET2g.jpg}}&lt;br /&gt;
File:PMET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early elongation, Stinton's dots&amp;lt;/span&amp;gt;|link={{filepath:MET3g.jpg}}&lt;br /&gt;
File:MET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early angularity of form&amp;lt;/span&amp;gt;|link={{filepath:MET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.knowlesi'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;At the early trophozoite stage an infection by ''P.knowlesi'' resembles that of ''P.falciparum'' and the number of infected cells amy be high. Forms found may also resemble P.falciparum with parasites that have double chromatin dots, multiply infected red cells, or accolé forms. This may create diagnostic difficulty in cases where only early trophozoites are present. Later forms however begin to resemble parasites of ''P.malariae'' and these should be specifically sought where infections arise in geographical areas associated with this parasite.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PKET1.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine early rings&amp;lt;/span&amp;gt;|link={{filepath:PKET1.jpg}}&lt;br /&gt;
File:PKET2a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot (right)&amp;lt;/span&amp;gt;|link={{filepath:PKET2a.jpg}}&lt;br /&gt;
File:PKET3a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé form&amp;lt;/span&amp;gt;|link={{filepath:PKET3a.jpg}}&lt;br /&gt;
File:PKET4a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple infection&amp;lt;/span&amp;gt;|link={{filepath:PKET4a.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6556</id>
		<title>Gallery of early trophozoites</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6556"/>
		<updated>2024-11-27T11:26:56Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
[[Galleries|Go Back]]&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;'''General Comments:''' At the very earliest point all trophozoites appear as ring forms and species differences are very difficult to distinguish - some &amp;quot;species specific&amp;quot; features may appear as parasites mature toward late trophozoite stages.&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
 &lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;''' ''P.falciparum'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Small delicate rings, and these '''may be the only forms seen in some patients at diagnosis'''. Infected red cells have normal (or slightly crenated) appearance.&amp;lt;/br&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery heights=200px widths=200px&amp;gt;&lt;br /&gt;
File:PFET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine ring form&amp;lt;/span&amp;gt;|link={{filepath:PFET1g.jpg}}&lt;br /&gt;
File:PFET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot form and normal ring&amp;lt;/span&amp;gt;|link={{filepath:PFET2g.jpg}}&lt;br /&gt;
File:PFET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé and double dot forms&amp;lt;/span&amp;gt;|link={{filepath:PFET3g.jpg}}&lt;br /&gt;
File:PFET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple parasite form&amp;lt;/span&amp;gt;|link={{filepath:PFET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.vivax'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Rings begin as small forms, but become larger asociated with enlarged distorted red cells as they develop. Schüffner's  dots will become present&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery heights=200px widths=200px&amp;gt;&lt;br /&gt;
File:PVET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:PVET1g.jpg}}&lt;br /&gt;
File:PVET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form with faint dots&amp;lt;/span&amp;gt;|link={{filepath:PVET2g.jpg}}&lt;br /&gt;
File:PVET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Llarge thickened ring trophozoite&amp;lt;/span&amp;gt;|link={{filepath:PVET3g.jpg}}&lt;br /&gt;
File:PVET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Distorted ting trophozoite and red cell, marked Schüffner's  dots&amp;lt;/span&amp;gt;|link={{filepath:PVET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;''' ''P.ovale'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Ring form is retained but enlarges, red cells may develop fimbriation and enlarged ovoid form with visible James' dots.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:POET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:POET1g.jpg}}&lt;br /&gt;
File:POET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring with dots/fimbriation&amp;lt;/span&amp;gt;|link={{filepath:POET2g.jpg}}&lt;br /&gt;
File:POET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;faint Ziemann's dots&amp;lt;/span&amp;gt;|link={{filepath:POET3g.jpg}}&lt;br /&gt;
File:POET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring early ovoid change&amp;lt;/span&amp;gt;|link={{filepath:POET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.malariae'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;Infected red cells are generally infrequent. Early trophozoites are small in normal or small erythrocytes, and may have central chromatin dot, elongation or angular forms.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:MET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring form in small red cell&amp;lt;/span&amp;gt;|link={{filepath:MET1g.jpg}}&lt;br /&gt;
File:MET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;The central chromatin dot&amp;lt;/span&amp;gt;|link={{filepath:MET2g.jpg}}&lt;br /&gt;
File:PMET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early elongation, Stinton's dots&amp;lt;/span&amp;gt;|link={{filepath:MET3g.jpg}}&lt;br /&gt;
File:MET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early angularity of form&amp;lt;/span&amp;gt;|link={{filepath:MET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.knowlesi'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;At the early trophozoite stage an infection by ''P.knowlesi'' resembles that of ''P.falciparum'' and the number of infected cells amy be high. Forms found may also resemble P.falciparum with parasites that have double chromatin dots, multiply infected red cells, or accolé forms. This may create diagnostic difficulty in cases where only early trophozoites are present. Later forms however begin to resemble parasites of ''P.malariae'' and these should be specifically sought where infections arise in geographical areas associated with this parasite.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PKET1.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine early rings&amp;lt;/span&amp;gt;|link={{filepath:PKET1.jpg}}&lt;br /&gt;
File:PKET2a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot (right)&amp;lt;/span&amp;gt;|link={{filepath:PKET2a.jpg}}&lt;br /&gt;
File:PKET3a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé form&amp;lt;/span&amp;gt;|link={{filepath:PKET3a.jpg}}&lt;br /&gt;
File:PKET4a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple infection&amp;lt;/span&amp;gt;|link={{filepath:PKET4a.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6555</id>
		<title>Gallery of early trophozoites</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6555"/>
		<updated>2024-11-27T11:02:40Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
[[Galleries|Go Back]]&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;'''General Comments:''' At the very earliest point all trophozoites appear as ring forms and species differences are very difficult to distinguish - some &amp;quot;species specific&amp;quot; features may appear as parasites mature toward late trophozoite stages.&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
 &lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;''' ''P.falciparum'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Small delicate rings, that may be the only forms seen in some patients at diagnosis. Infected red cells have normal (or slightly crenated) appearance.&amp;lt;/br&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery heights=200px widths=200px&amp;gt;&lt;br /&gt;
File:PFET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine ring form&amp;lt;/span&amp;gt;|link={{filepath:PFET1g.jpg}}&lt;br /&gt;
File:PFET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot form and normal ring&amp;lt;/span&amp;gt;|link={{filepath:PFET2g.jpg}}&lt;br /&gt;
File:PFET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé and double dot forms&amp;lt;/span&amp;gt;|link={{filepath:PFET3g.jpg}}&lt;br /&gt;
File:PFET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple parasite form&amp;lt;/span&amp;gt;|link={{filepath:PFET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.vivax'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Rings begin as small forms, but become larger within enlarged distorted red cells as they develop. Scuffner's dots will become present&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery heights=200px widths=200px&amp;gt;&lt;br /&gt;
File:PVET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:PVET1g.jpg}}&lt;br /&gt;
File:PVET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form with faint dots&amp;lt;/span&amp;gt;|link={{filepath:PVET2g.jpg}}&lt;br /&gt;
File:PVET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Llarge thickened ring trophozoite&amp;lt;/span&amp;gt;|link={{filepath:PVET3g.jpg}}&lt;br /&gt;
File:PVET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Distorted ting trophozoite and red cell, marked Schuffner's dots&amp;lt;/span&amp;gt;|link={{filepath:PVET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;''' ''P.ovale'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Ring form is retained but enlarges, red cells may develop fimbriation and enlarged ovoid form with James dots.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:POET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:POET1g.jpg}}&lt;br /&gt;
File:POET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring with dots/fimbriation&amp;lt;/span&amp;gt;|link={{filepath:POET2g.jpg}}&lt;br /&gt;
File:POET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;faint Ziemann's dots&amp;lt;/span&amp;gt;|link={{filepath:POET3g.jpg}}&lt;br /&gt;
File:POET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring early ovoid change&amp;lt;/span&amp;gt;|link={{filepath:POET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.malariae'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;Generally parasites are infrequent. The very early small forms become a little more robust than ''P.falciparum'', and may acquire features more typical (though not exclusive) for species including [[central chromatin dot]] forms, and early parasite [[elongation]] or angular forms. Red cells have normal size and shape or may have reduced size, cytoplasmic dots should not be present (although the uncommon fine Stinton's dots may be seen).&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:MET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring form in small red cell&amp;lt;/span&amp;gt;|link={{filepath:MET1g.jpg}}&lt;br /&gt;
File:MET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;The central chromatin dot&amp;lt;/span&amp;gt;|link={{filepath:MET2g.jpg}}&lt;br /&gt;
File:PMET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early elongation, Stinton's dots&amp;lt;/span&amp;gt;|link={{filepath:MET3g.jpg}}&lt;br /&gt;
File:MET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early angularity of form&amp;lt;/span&amp;gt;|link={{filepath:MET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.knowlesi'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;At the early trophozoite stage an infection by ''P.knowlesi'' resembles that of ''P.falciparum'' and the number of infected cells amy be high. Forms found may also resemble P.falciparum with parasites that have double chromatin dots, multiply infected red cells, or accolé forms. This may create diagnostic difficulty in cases where only early trophozoites are present. Later forms however begin to resemble parasites of ''P.malariae'' and these should be specifically sought where infections arise in geographical areas associated with this parasite.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PKET1.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine early rings&amp;lt;/span&amp;gt;|link={{filepath:PKET1.jpg}}&lt;br /&gt;
File:PKET2a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot (right)&amp;lt;/span&amp;gt;|link={{filepath:PKET2a.jpg}}&lt;br /&gt;
File:PKET3a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé form&amp;lt;/span&amp;gt;|link={{filepath:PKET3a.jpg}}&lt;br /&gt;
File:PKET4a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple infection&amp;lt;/span&amp;gt;|link={{filepath:PKET4a.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6554</id>
		<title>Gallery of early trophozoites</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6554"/>
		<updated>2024-11-26T19:00:50Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
[[Galleries|Go Back]]&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;'''General Comments:''' At the very earliest point all trophozoites appear as ring forms and species differences are very difficult to distinguish - some &amp;quot;species specific&amp;quot; features may appear as parasites mature toward late trophozoite stages.&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
 &lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;''' ''P.falciparum'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Small delicate rings, that may be the only forms seen in some patients at diagnosis. Red cells have normal (or slightly crenated) appearance.&amp;lt;/br&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery heights=180px widths=180px&amp;gt;&lt;br /&gt;
File:PFET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine ring form&amp;lt;/span&amp;gt;|link={{filepath:PFET1g.jpg}}&lt;br /&gt;
File:PFET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot form and normal ring&amp;lt;/span&amp;gt;|link={{filepath:PFET2g.jpg}}&lt;br /&gt;
File:PFET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé and double dot forms&amp;lt;/span&amp;gt;|link={{filepath:PFET3g.jpg}}&lt;br /&gt;
File:PFET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple parasite form&amp;lt;/span&amp;gt;|link={{filepath:PFET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.vivax'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Rings begin as small forms, but become larger within enlarged distorted red cells as they develop. Scuffner's dots will become present&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery heights=200px widths=200px&amp;gt;&lt;br /&gt;
File:PVET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:PVET1g.jpg}}&lt;br /&gt;
File:PVET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form with faint dots&amp;lt;/span&amp;gt;|link={{filepath:PVET2g.jpg}}&lt;br /&gt;
File:PVET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Llarge thickened ring trophozoite&amp;lt;/span&amp;gt;|link={{filepath:PVET3g.jpg}}&lt;br /&gt;
File:PVET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Distorted ting trophozoite and red cell, marked Schuffner's dots&amp;lt;/span&amp;gt;|link={{filepath:PVET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;''' ''P.ovale'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Ring form is retained but enlarges, red cells may develop fimbriation and enlarged ovoid form with James dots.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:POET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:POET1g.jpg}}&lt;br /&gt;
File:POET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring with dots/fimbriation&amp;lt;/span&amp;gt;|link={{filepath:POET2g.jpg}}&lt;br /&gt;
File:POET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;faint Ziemann's dots&amp;lt;/span&amp;gt;|link={{filepath:POET3g.jpg}}&lt;br /&gt;
File:POET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring early ovoid change&amp;lt;/span&amp;gt;|link={{filepath:POET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.malariae'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;Generally parasites are infrequent. The very early small forms become a little more robust than ''P.falciparum'', and may acquire features more typical (though not exclusive) for species including [[central chromatin dot]] forms, and early parasite [[elongation]] or angular forms. Red cells have normal size and shape or may have reduced size, cytoplasmic dots should not be present (although the uncommon fine Stinton's dots may be seen).&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:MET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring form in small red cell&amp;lt;/span&amp;gt;|link={{filepath:MET1g.jpg}}&lt;br /&gt;
File:MET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;The central chromatin dot&amp;lt;/span&amp;gt;|link={{filepath:MET2g.jpg}}&lt;br /&gt;
File:PMET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early elongation, Stinton's dots&amp;lt;/span&amp;gt;|link={{filepath:MET3g.jpg}}&lt;br /&gt;
File:MET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early angularity of form&amp;lt;/span&amp;gt;|link={{filepath:MET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.knowlesi'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;At the early trophozoite stage an infection by ''P.knowlesi'' resembles that of ''P.falciparum'' and the number of infected cells amy be high. Forms found may also resemble P.falciparum with parasites that have double chromatin dots, multiply infected red cells, or accolé forms. This may create diagnostic difficulty in cases where only early trophozoites are present. Later forms however begin to resemble parasites of ''P.malariae'' and these should be specifically sought where infections arise in geographical areas associated with this parasite.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PKET1.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine early rings&amp;lt;/span&amp;gt;|link={{filepath:PKET1.jpg}}&lt;br /&gt;
File:PKET2a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot (right)&amp;lt;/span&amp;gt;|link={{filepath:PKET2a.jpg}}&lt;br /&gt;
File:PKET3a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé form&amp;lt;/span&amp;gt;|link={{filepath:PKET3a.jpg}}&lt;br /&gt;
File:PKET4a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple infection&amp;lt;/span&amp;gt;|link={{filepath:PKET4a.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6553</id>
		<title>Gallery of early trophozoites</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6553"/>
		<updated>2024-11-26T18:59:30Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
[[Galleries|Go Back]]&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;'''General Comments:''' At the very earliest point all trophozoites appear as ring forms and species differences are very difficult to distinguish - some &amp;quot;species specific&amp;quot; features may appear as parasites mature toward late trophozoite stages.&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
 &lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;''' ''P.falciparum'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Small delicate rings, that may be the only forms seen in some patients at diagnosis. Red cells have normal (or slightly crenated) appearance.&amp;lt;/br&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery heights=180px widths=180px&amp;gt;&lt;br /&gt;
File:PFET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine ring form&amp;lt;/span&amp;gt;|link={{filepath:PFET1g.jpg}}&lt;br /&gt;
File:PFET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot form and normal ring&amp;lt;/span&amp;gt;|link={{filepath:PFET2g.jpg}}&lt;br /&gt;
File:PFET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé and double dot forms&amp;lt;/span&amp;gt;|link={{filepath:PFET3g.jpg}}&lt;br /&gt;
File:PFET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple parasite form&amp;lt;/span&amp;gt;|link={{filepath:PFET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.vivax'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Rings begin as small forms, but become larger within enlarged distorted red cells as they develop. Scuffner's dots will become present&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery heights=200px widths=200px&amp;gt;&lt;br /&gt;
File:PVET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:PVET1g.jpg}}&lt;br /&gt;
File:PVET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form with faint dots&amp;lt;/span&amp;gt;|link={{filepath:PVET2g.jpg}}&lt;br /&gt;
File:PVET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Llarge thickened ring trophozoite&amp;lt;/span&amp;gt;|link={{filepath:PVET3g.jpg}}&lt;br /&gt;
File:PVET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Distorted ting trophozoite and red cell, marked Schuffner's dots&amp;lt;/span&amp;gt;|link={{filepath:PVET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;''' ''P.ovale'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;The ring form is retained but enlarges, while red cells begin to devlop red cell distortion that includes fimbriation and enlarged ovoid form. James dots may appear and becoming more prominent.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:POET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:POET1g.jpg}}&lt;br /&gt;
File:POET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring with dots/fimbriation&amp;lt;/span&amp;gt;|link={{filepath:POET2g.jpg}}&lt;br /&gt;
File:POET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;faint Ziemann's dots&amp;lt;/span&amp;gt;|link={{filepath:POET3g.jpg}}&lt;br /&gt;
File:POET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring early ovoid change&amp;lt;/span&amp;gt;|link={{filepath:POET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.malariae'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;Generally parasites are infrequent. The very early small forms become a little more robust than ''P.falciparum'', and may acquire features more typical (though not exclusive) for species including [[central chromatin dot]] forms, and early parasite [[elongation]] or angular forms. Red cells have normal size and shape or may have reduced size, cytoplasmic dots should not be present (although the uncommon fine Stinton's dots may be seen).&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:MET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring form in small red cell&amp;lt;/span&amp;gt;|link={{filepath:MET1g.jpg}}&lt;br /&gt;
File:MET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;The central chromatin dot&amp;lt;/span&amp;gt;|link={{filepath:MET2g.jpg}}&lt;br /&gt;
File:PMET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early elongation, Stinton's dots&amp;lt;/span&amp;gt;|link={{filepath:MET3g.jpg}}&lt;br /&gt;
File:MET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early angularity of form&amp;lt;/span&amp;gt;|link={{filepath:MET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.knowlesi'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;At the early trophozoite stage an infection by ''P.knowlesi'' resembles that of ''P.falciparum'' and the number of infected cells amy be high. Forms found may also resemble P.falciparum with parasites that have double chromatin dots, multiply infected red cells, or accolé forms. This may create diagnostic difficulty in cases where only early trophozoites are present. Later forms however begin to resemble parasites of ''P.malariae'' and these should be specifically sought where infections arise in geographical areas associated with this parasite.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PKET1.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine early rings&amp;lt;/span&amp;gt;|link={{filepath:PKET1.jpg}}&lt;br /&gt;
File:PKET2a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot (right)&amp;lt;/span&amp;gt;|link={{filepath:PKET2a.jpg}}&lt;br /&gt;
File:PKET3a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé form&amp;lt;/span&amp;gt;|link={{filepath:PKET3a.jpg}}&lt;br /&gt;
File:PKET4a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple infection&amp;lt;/span&amp;gt;|link={{filepath:PKET4a.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6552</id>
		<title>Gallery of early trophozoites</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6552"/>
		<updated>2024-11-26T18:54:26Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
[[Galleries|Go Back]]&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;'''General Comments:''' At the very earliest point all trophozoites appear as ring forms and species differences are very difficult to distinguish - some &amp;quot;species specific&amp;quot; features may appear as parasites mature toward late trophozoite stages.&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
 &lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;''' ''P.falciparum'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Small delicate rings, that may be the only forms seen in some patients at diagnosis. Red cells have normal (or slightly crenated) appearance.&amp;lt;/br&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery heights=180px widths=180px&amp;gt;&lt;br /&gt;
File:PFET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine ring form&amp;lt;/span&amp;gt;|link={{filepath:PFET1g.jpg}}&lt;br /&gt;
File:PFET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot form and normal ring&amp;lt;/span&amp;gt;|link={{filepath:PFET2g.jpg}}&lt;br /&gt;
File:PFET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé and double dot forms&amp;lt;/span&amp;gt;|link={{filepath:PFET3g.jpg}}&lt;br /&gt;
File:PFET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple parasite form&amp;lt;/span&amp;gt;|link={{filepath:PFET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.vivax'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Rings begin as small forms, but become larger within enlarged distorted red cells as they develop. Scuffner's dots will become present&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery heights=150px widths=150px&amp;gt;&lt;br /&gt;
File:PVET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:PVET1g.jpg}}&lt;br /&gt;
File:PVET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form with faint dots&amp;lt;/span&amp;gt;|link={{filepath:PVET2g.jpg}}&lt;br /&gt;
File:PVET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Llarge thickened ring trophozoite&amp;lt;/span&amp;gt;|link={{filepath:PVET3g.jpg}}&lt;br /&gt;
File:PVET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Distorted ting trophozoite and red cell, marked Schuffner's dots&amp;lt;/span&amp;gt;|link={{filepath:PVET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.ovale'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;As with the other species development begins with small forms and normal red cells; However as the species develops cahnges to red cells begin that might include [[fimbriation]], [[ovoid form]] and some enlargement. Similar to ''P.vivax'' the cytoplasmic James (Schuffners) dots appear initially as a fine dots but becoming more prominent as the parasites mature.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:POET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:POET1g.jpg}}&lt;br /&gt;
File:POET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring with dots/fimbriation&amp;lt;/span&amp;gt;|link={{filepath:POET2g.jpg}}&lt;br /&gt;
File:POET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;faint Ziemann's dots&amp;lt;/span&amp;gt;|link={{filepath:POET3g.jpg}}&lt;br /&gt;
File:POET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring early ovoid change&amp;lt;/span&amp;gt;|link={{filepath:POET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.malariae'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;Generally parasites are infrequent. The very early small forms become a little more robust than ''P.falciparum'', and may acquire features more typical (though not exclusive) for species including [[central chromatin dot]] forms, and early parasite [[elongation]] or angular forms. Red cells have normal size and shape or may have reduced size, cytoplasmic dots should not be present (although the uncommon fine Stinton's dots may be seen).&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:MET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring form in small red cell&amp;lt;/span&amp;gt;|link={{filepath:MET1g.jpg}}&lt;br /&gt;
File:MET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;The central chromatin dot&amp;lt;/span&amp;gt;|link={{filepath:MET2g.jpg}}&lt;br /&gt;
File:PMET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early elongation, Stinton's dots&amp;lt;/span&amp;gt;|link={{filepath:MET3g.jpg}}&lt;br /&gt;
File:MET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early angularity of form&amp;lt;/span&amp;gt;|link={{filepath:MET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.knowlesi'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;At the early trophozoite stage an infection by ''P.knowlesi'' resembles that of ''P.falciparum'' and the number of infected cells amy be high. Forms found may also resemble P.falciparum with parasites that have double chromatin dots, multiply infected red cells, or accolé forms. This may create diagnostic difficulty in cases where only early trophozoites are present. Later forms however begin to resemble parasites of ''P.malariae'' and these should be specifically sought where infections arise in geographical areas associated with this parasite.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PKET1.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine early rings&amp;lt;/span&amp;gt;|link={{filepath:PKET1.jpg}}&lt;br /&gt;
File:PKET2a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot (right)&amp;lt;/span&amp;gt;|link={{filepath:PKET2a.jpg}}&lt;br /&gt;
File:PKET3a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé form&amp;lt;/span&amp;gt;|link={{filepath:PKET3a.jpg}}&lt;br /&gt;
File:PKET4a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple infection&amp;lt;/span&amp;gt;|link={{filepath:PKET4a.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6551</id>
		<title>Gallery of early trophozoites</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6551"/>
		<updated>2024-11-26T18:53:08Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
[[Galleries|Go Back]]&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;'''General Comments:''' At the very earliest point all trophozoites appear as ring forms and species differences are very difficult to distinguish - some &amp;quot;species specific&amp;quot; features may appear as parasites mature toward late trophozoite stages.&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
 &lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;''' ''P.falciparum'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Small delicate rings, that may be the only forms seen in some patients at diagnosis. Red cells have normal (or slightly crenated) appearance.&amp;lt;/br&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery heights=150px widths=150px&amp;gt;&lt;br /&gt;
File:PFET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine ring form&amp;lt;/span&amp;gt;|link={{filepath:PFET1g.jpg}}&lt;br /&gt;
File:PFET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot form and normal ring&amp;lt;/span&amp;gt;|link={{filepath:PFET2g.jpg}}&lt;br /&gt;
File:PFET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé and double dot forms&amp;lt;/span&amp;gt;|link={{filepath:PFET3g.jpg}}&lt;br /&gt;
File:PFET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple parasite form&amp;lt;/span&amp;gt;|link={{filepath:PFET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.vivax'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Rings begin as small forms, but become larger within enlarged distorted red cells as they develop. Scuffner's dots will become present&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery heights=150px widths=150px&amp;gt;&lt;br /&gt;
File:PVET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:PVET1g.jpg}}&lt;br /&gt;
File:PVET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form with faint dots&amp;lt;/span&amp;gt;|link={{filepath:PVET2g.jpg}}&lt;br /&gt;
File:PVET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Llarge thickened ring trophozoite&amp;lt;/span&amp;gt;|link={{filepath:PVET3g.jpg}}&lt;br /&gt;
File:PVET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Distorted ting trophozoite and red cell, marked Schuffner's dots&amp;lt;/span&amp;gt;|link={{filepath:PVET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.ovale'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;As with the other species development begins with small forms and normal red cells; However as the species develops cahnges to red cells begin that might include [[fimbriation]], [[ovoid form]] and some enlargement. Similar to ''P.vivax'' the cytoplasmic James (Schuffners) dots appear initially as a fine dots but becoming more prominent as the parasites mature.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:POET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:POET1g.jpg}}&lt;br /&gt;
File:POET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring with dots/fimbriation&amp;lt;/span&amp;gt;|link={{filepath:POET2g.jpg}}&lt;br /&gt;
File:POET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;faint Ziemann's dots&amp;lt;/span&amp;gt;|link={{filepath:POET3g.jpg}}&lt;br /&gt;
File:POET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring early ovoid change&amp;lt;/span&amp;gt;|link={{filepath:POET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.malariae'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;Generally parasites are infrequent. The very early small forms become a little more robust than ''P.falciparum'', and may acquire features more typical (though not exclusive) for species including [[central chromatin dot]] forms, and early parasite [[elongation]] or angular forms. Red cells have normal size and shape or may have reduced size, cytoplasmic dots should not be present (although the uncommon fine Stinton's dots may be seen).&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:MET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring form in small red cell&amp;lt;/span&amp;gt;|link={{filepath:MET1g.jpg}}&lt;br /&gt;
File:MET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;The central chromatin dot&amp;lt;/span&amp;gt;|link={{filepath:MET2g.jpg}}&lt;br /&gt;
File:PMET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early elongation, Stinton's dots&amp;lt;/span&amp;gt;|link={{filepath:MET3g.jpg}}&lt;br /&gt;
File:MET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early angularity of form&amp;lt;/span&amp;gt;|link={{filepath:MET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.knowlesi'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;At the early trophozoite stage an infection by ''P.knowlesi'' resembles that of ''P.falciparum'' and the number of infected cells amy be high. Forms found may also resemble P.falciparum with parasites that have double chromatin dots, multiply infected red cells, or accolé forms. This may create diagnostic difficulty in cases where only early trophozoites are present. Later forms however begin to resemble parasites of ''P.malariae'' and these should be specifically sought where infections arise in geographical areas associated with this parasite.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PKET1.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine early rings&amp;lt;/span&amp;gt;|link={{filepath:PKET1.jpg}}&lt;br /&gt;
File:PKET2a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot (right)&amp;lt;/span&amp;gt;|link={{filepath:PKET2a.jpg}}&lt;br /&gt;
File:PKET3a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé form&amp;lt;/span&amp;gt;|link={{filepath:PKET3a.jpg}}&lt;br /&gt;
File:PKET4a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple infection&amp;lt;/span&amp;gt;|link={{filepath:PKET4a.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6550</id>
		<title>Gallery of early trophozoites</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6550"/>
		<updated>2024-11-26T18:51:00Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
[[Galleries|Go Back]]&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;'''General Comments:''' At the very earliest point all trophozoites appear as ring forms and species differences are very difficult to distinguish - some &amp;quot;species specific&amp;quot; features may appear as parasites mature toward late trophozoite stages.&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
 &lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;''' ''P.falciparum'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Small delicate rings, that may be the only forms seen in some patients at diagnosis. Red cells have normal (or slightly crenated) appearance.&amp;lt;/br&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery heights=150px widths=150px&amp;gt;&lt;br /&gt;
File:PFET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine ring form&amp;lt;/span&amp;gt;|link={{filepath:PFET1g.jpg}}&lt;br /&gt;
File:PFET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot form and normal ring&amp;lt;/span&amp;gt;|link={{filepath:PFET2g.jpg}}&lt;br /&gt;
File:PFET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé and double dot forms&amp;lt;/span&amp;gt;|link={{filepath:PFET3g.jpg}}&lt;br /&gt;
File:PFET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple parasite form&amp;lt;/span&amp;gt;|link={{filepath:PFET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.vivax'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Rings begin as small forms, but become larger within enlarged distorted red cells as they develop. Scuffner's dots will become present&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery heights=150px widths=150px&amp;gt;&lt;br /&gt;
File:PVET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:PVET1g.jpg}}&lt;br /&gt;
File:PVET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form with faint dots&amp;lt;/span&amp;gt;|link={{filepath:PVET2g.jpg}}&lt;br /&gt;
File:PVET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Intermediate large thickened trophozoite&amp;lt;/span&amp;gt;|link={{filepath:PVET3g.jpg}}&lt;br /&gt;
File:PVET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Intermediate/late trophozoite&amp;lt;/span&amp;gt;|link={{filepath:PVET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.ovale'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;As with the other species development begins with small forms and normal red cells; However as the species develops cahnges to red cells begin that might include [[fimbriation]], [[ovoid form]] and some enlargement. Similar to ''P.vivax'' the cytoplasmic James (Schuffners) dots appear initially as a fine dots but becoming more prominent as the parasites mature.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:POET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:POET1g.jpg}}&lt;br /&gt;
File:POET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring with dots/fimbriation&amp;lt;/span&amp;gt;|link={{filepath:POET2g.jpg}}&lt;br /&gt;
File:POET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;faint Ziemann's dots&amp;lt;/span&amp;gt;|link={{filepath:POET3g.jpg}}&lt;br /&gt;
File:POET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring early ovoid change&amp;lt;/span&amp;gt;|link={{filepath:POET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.malariae'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;Generally parasites are infrequent. The very early small forms become a little more robust than ''P.falciparum'', and may acquire features more typical (though not exclusive) for species including [[central chromatin dot]] forms, and early parasite [[elongation]] or angular forms. Red cells have normal size and shape or may have reduced size, cytoplasmic dots should not be present (although the uncommon fine Stinton's dots may be seen).&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:MET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring form in small red cell&amp;lt;/span&amp;gt;|link={{filepath:MET1g.jpg}}&lt;br /&gt;
File:MET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;The central chromatin dot&amp;lt;/span&amp;gt;|link={{filepath:MET2g.jpg}}&lt;br /&gt;
File:PMET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early elongation, Stinton's dots&amp;lt;/span&amp;gt;|link={{filepath:MET3g.jpg}}&lt;br /&gt;
File:MET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early angularity of form&amp;lt;/span&amp;gt;|link={{filepath:MET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.knowlesi'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;At the early trophozoite stage an infection by ''P.knowlesi'' resembles that of ''P.falciparum'' and the number of infected cells amy be high. Forms found may also resemble P.falciparum with parasites that have double chromatin dots, multiply infected red cells, or accolé forms. This may create diagnostic difficulty in cases where only early trophozoites are present. Later forms however begin to resemble parasites of ''P.malariae'' and these should be specifically sought where infections arise in geographical areas associated with this parasite.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PKET1.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine early rings&amp;lt;/span&amp;gt;|link={{filepath:PKET1.jpg}}&lt;br /&gt;
File:PKET2a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot (right)&amp;lt;/span&amp;gt;|link={{filepath:PKET2a.jpg}}&lt;br /&gt;
File:PKET3a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé form&amp;lt;/span&amp;gt;|link={{filepath:PKET3a.jpg}}&lt;br /&gt;
File:PKET4a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple infection&amp;lt;/span&amp;gt;|link={{filepath:PKET4a.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6549</id>
		<title>Gallery of early trophozoites</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6549"/>
		<updated>2024-11-26T18:49:55Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
[[Galleries|Go Back]]&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;'''General Comments:''' At the very earliest point all trophozoites appear as ring forms and species differences are very difficult to distinguish - some &amp;quot;species specific&amp;quot; features may appear as parasites mature toward late trophozoite stages.&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
 &lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;''' ''P.falciparum'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Small delicate rings, that may be the only forms seen in some patients at diagnosis. Red cells have normal (or slightly crenated) appearance.&amp;lt;/br&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery heights=150px widths=150px&amp;gt;&lt;br /&gt;
File:PFET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine ring form&amp;lt;/span&amp;gt;|link={{filepath:PFET1g.jpg}}&lt;br /&gt;
File:PFET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot form and normal ring&amp;lt;/span&amp;gt;|link={{filepath:PFET2g.jpg}}&lt;br /&gt;
File:PFET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé and double dot forms&amp;lt;/span&amp;gt;|link={{filepath:PFET3g.jpg}}&lt;br /&gt;
File:PFET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple parasite form&amp;lt;/span&amp;gt;|link={{filepath:PFET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.vivax'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Rings begin as small forms, but become larger within enlarged distorted red cells as they develop. Scuffner's dots will become present&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery heights=150px widths=150px&amp;gt;&lt;br /&gt;
File:PVET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:PVET1g.jpg}}&lt;br /&gt;
File:PVET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:PVET2g.jpg}}&lt;br /&gt;
File:PVET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Intermediate trophozoite&amp;lt;/span&amp;gt;|link={{filepath:PVET3g.jpg}}&lt;br /&gt;
File:PVET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Intermediate/late trophozoite&amp;lt;/span&amp;gt;|link={{filepath:PVET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.ovale'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;As with the other species development begins with small forms and normal red cells; However as the species develops cahnges to red cells begin that might include [[fimbriation]], [[ovoid form]] and some enlargement. Similar to ''P.vivax'' the cytoplasmic James (Schuffners) dots appear initially as a fine dots but becoming more prominent as the parasites mature.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:POET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:POET1g.jpg}}&lt;br /&gt;
File:POET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring with dots/fimbriation&amp;lt;/span&amp;gt;|link={{filepath:POET2g.jpg}}&lt;br /&gt;
File:POET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;faint Ziemann's dots&amp;lt;/span&amp;gt;|link={{filepath:POET3g.jpg}}&lt;br /&gt;
File:POET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring early ovoid change&amp;lt;/span&amp;gt;|link={{filepath:POET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.malariae'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;Generally parasites are infrequent. The very early small forms become a little more robust than ''P.falciparum'', and may acquire features more typical (though not exclusive) for species including [[central chromatin dot]] forms, and early parasite [[elongation]] or angular forms. Red cells have normal size and shape or may have reduced size, cytoplasmic dots should not be present (although the uncommon fine Stinton's dots may be seen).&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:MET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring form in small red cell&amp;lt;/span&amp;gt;|link={{filepath:MET1g.jpg}}&lt;br /&gt;
File:MET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;The central chromatin dot&amp;lt;/span&amp;gt;|link={{filepath:MET2g.jpg}}&lt;br /&gt;
File:PMET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early elongation, Stinton's dots&amp;lt;/span&amp;gt;|link={{filepath:MET3g.jpg}}&lt;br /&gt;
File:MET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early angularity of form&amp;lt;/span&amp;gt;|link={{filepath:MET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.knowlesi'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;At the early trophozoite stage an infection by ''P.knowlesi'' resembles that of ''P.falciparum'' and the number of infected cells amy be high. Forms found may also resemble P.falciparum with parasites that have double chromatin dots, multiply infected red cells, or accolé forms. This may create diagnostic difficulty in cases where only early trophozoites are present. Later forms however begin to resemble parasites of ''P.malariae'' and these should be specifically sought where infections arise in geographical areas associated with this parasite.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PKET1.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine early rings&amp;lt;/span&amp;gt;|link={{filepath:PKET1.jpg}}&lt;br /&gt;
File:PKET2a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot (right)&amp;lt;/span&amp;gt;|link={{filepath:PKET2a.jpg}}&lt;br /&gt;
File:PKET3a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé form&amp;lt;/span&amp;gt;|link={{filepath:PKET3a.jpg}}&lt;br /&gt;
File:PKET4a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple infection&amp;lt;/span&amp;gt;|link={{filepath:PKET4a.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6548</id>
		<title>Gallery of early trophozoites</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6548"/>
		<updated>2024-11-26T18:45:40Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
[[Galleries|Go Back]]&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;'''General Comments:''' At the very earliest point all trophozoites appear as ring forms and species differences are very difficult to distinguish - some &amp;quot;species specific&amp;quot; features may appear as parasites mature toward late trophozoite stages.&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
 &lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;''' ''P.falciparum'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Small delicate rings, that may be the only forms seen in some patients at diagnosis. Red cells have normal (or slightly crenated) appearance.&amp;lt;/br&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery heights=150px widths=150px&amp;gt;&lt;br /&gt;
File:PFET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine ring form&amp;lt;/span&amp;gt;|link={{filepath:PFET1g.jpg}}&lt;br /&gt;
File:PFET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot form and normal ring&amp;lt;/span&amp;gt;|link={{filepath:PFET2g.jpg}}&lt;br /&gt;
File:PFET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé and double dot forms&amp;lt;/span&amp;gt;|link={{filepath:PFET3g.jpg}}&lt;br /&gt;
File:PFET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple parasite form&amp;lt;/span&amp;gt;|link={{filepath:PFET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.vivax'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;Rings begin as small forms in normal sized red cells, but as they develop both parasites and red cells become markedly [[Size and shape of infected red cells|enlarged and irregular]]. [[Schuffners dots]] develop during this stage initially as a fine dusting but becoming more prominent.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PVET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:PVET1g.jpg}}&lt;br /&gt;
File:PVET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:PVET2g.jpg}}&lt;br /&gt;
File:PVET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Intermediate trophozoite&amp;lt;/span&amp;gt;|link={{filepath:PVET3g.jpg}}&lt;br /&gt;
File:PVET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Intermediate/late trophozoite&amp;lt;/span&amp;gt;|link={{filepath:PVET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.ovale'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;As with the other species development begins with small forms and normal red cells; However as the species develops cahnges to red cells begin that might include [[fimbriation]], [[ovoid form]] and some enlargement. Similar to ''P.vivax'' the cytoplasmic James (Schuffners) dots appear initially as a fine dots but becoming more prominent as the parasites mature.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:POET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:POET1g.jpg}}&lt;br /&gt;
File:POET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring with dots/fimbriation&amp;lt;/span&amp;gt;|link={{filepath:POET2g.jpg}}&lt;br /&gt;
File:POET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;faint Ziemann's dots&amp;lt;/span&amp;gt;|link={{filepath:POET3g.jpg}}&lt;br /&gt;
File:POET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring early ovoid change&amp;lt;/span&amp;gt;|link={{filepath:POET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.malariae'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;Generally parasites are infrequent. The very early small forms become a little more robust than ''P.falciparum'', and may acquire features more typical (though not exclusive) for species including [[central chromatin dot]] forms, and early parasite [[elongation]] or angular forms. Red cells have normal size and shape or may have reduced size, cytoplasmic dots should not be present (although the uncommon fine Stinton's dots may be seen).&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:MET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring form in small red cell&amp;lt;/span&amp;gt;|link={{filepath:MET1g.jpg}}&lt;br /&gt;
File:MET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;The central chromatin dot&amp;lt;/span&amp;gt;|link={{filepath:MET2g.jpg}}&lt;br /&gt;
File:PMET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early elongation, Stinton's dots&amp;lt;/span&amp;gt;|link={{filepath:MET3g.jpg}}&lt;br /&gt;
File:MET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early angularity of form&amp;lt;/span&amp;gt;|link={{filepath:MET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.knowlesi'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;At the early trophozoite stage an infection by ''P.knowlesi'' resembles that of ''P.falciparum'' and the number of infected cells amy be high. Forms found may also resemble P.falciparum with parasites that have double chromatin dots, multiply infected red cells, or accolé forms. This may create diagnostic difficulty in cases where only early trophozoites are present. Later forms however begin to resemble parasites of ''P.malariae'' and these should be specifically sought where infections arise in geographical areas associated with this parasite.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PKET1.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine early rings&amp;lt;/span&amp;gt;|link={{filepath:PKET1.jpg}}&lt;br /&gt;
File:PKET2a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot (right)&amp;lt;/span&amp;gt;|link={{filepath:PKET2a.jpg}}&lt;br /&gt;
File:PKET3a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé form&amp;lt;/span&amp;gt;|link={{filepath:PKET3a.jpg}}&lt;br /&gt;
File:PKET4a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple infection&amp;lt;/span&amp;gt;|link={{filepath:PKET4a.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6547</id>
		<title>Gallery of early trophozoites</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6547"/>
		<updated>2024-11-26T18:45:02Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
[[Galleries|Go Back]]&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;'''General Comments:''' At the very earliest point all trophozoites appear as ring forms and species differences are very difficult to distinguish - some &amp;quot;species specific&amp;quot; features may appear as parasites mature toward late trophozoite stages.&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
 &lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;''' ''P.falciparum'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Small delicate rings, that may be the only forms seen in some patients at diagnosis. Red cells have normal (or slightly crenated) appearance.&amp;lt;/br&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery heights=200px widths=200px&amp;gt;&lt;br /&gt;
File:PFET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine ring form&amp;lt;/span&amp;gt;|link={{filepath:PFET1g.jpg}}&lt;br /&gt;
File:PFET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot form and normal ring&amp;lt;/span&amp;gt;|link={{filepath:PFET2g.jpg}}&lt;br /&gt;
File:PFET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé and double dot forms&amp;lt;/span&amp;gt;|link={{filepath:PFET3g.jpg}}&lt;br /&gt;
File:PFET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple parasite form&amp;lt;/span&amp;gt;|link={{filepath:PFET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.vivax'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;Rings begin as small forms in normal sized red cells, but as they develop both parasites and red cells become markedly [[Size and shape of infected red cells|enlarged and irregular]]. [[Schuffners dots]] develop during this stage initially as a fine dusting but becoming more prominent.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PVET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:PVET1g.jpg}}&lt;br /&gt;
File:PVET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:PVET2g.jpg}}&lt;br /&gt;
File:PVET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Intermediate trophozoite&amp;lt;/span&amp;gt;|link={{filepath:PVET3g.jpg}}&lt;br /&gt;
File:PVET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Intermediate/late trophozoite&amp;lt;/span&amp;gt;|link={{filepath:PVET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.ovale'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;As with the other species development begins with small forms and normal red cells; However as the species develops cahnges to red cells begin that might include [[fimbriation]], [[ovoid form]] and some enlargement. Similar to ''P.vivax'' the cytoplasmic James (Schuffners) dots appear initially as a fine dots but becoming more prominent as the parasites mature.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:POET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:POET1g.jpg}}&lt;br /&gt;
File:POET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring with dots/fimbriation&amp;lt;/span&amp;gt;|link={{filepath:POET2g.jpg}}&lt;br /&gt;
File:POET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;faint Ziemann's dots&amp;lt;/span&amp;gt;|link={{filepath:POET3g.jpg}}&lt;br /&gt;
File:POET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring early ovoid change&amp;lt;/span&amp;gt;|link={{filepath:POET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.malariae'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;Generally parasites are infrequent. The very early small forms become a little more robust than ''P.falciparum'', and may acquire features more typical (though not exclusive) for species including [[central chromatin dot]] forms, and early parasite [[elongation]] or angular forms. Red cells have normal size and shape or may have reduced size, cytoplasmic dots should not be present (although the uncommon fine Stinton's dots may be seen).&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:MET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring form in small red cell&amp;lt;/span&amp;gt;|link={{filepath:MET1g.jpg}}&lt;br /&gt;
File:MET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;The central chromatin dot&amp;lt;/span&amp;gt;|link={{filepath:MET2g.jpg}}&lt;br /&gt;
File:PMET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early elongation, Stinton's dots&amp;lt;/span&amp;gt;|link={{filepath:MET3g.jpg}}&lt;br /&gt;
File:MET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early angularity of form&amp;lt;/span&amp;gt;|link={{filepath:MET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.knowlesi'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;At the early trophozoite stage an infection by ''P.knowlesi'' resembles that of ''P.falciparum'' and the number of infected cells amy be high. Forms found may also resemble P.falciparum with parasites that have double chromatin dots, multiply infected red cells, or accolé forms. This may create diagnostic difficulty in cases where only early trophozoites are present. Later forms however begin to resemble parasites of ''P.malariae'' and these should be specifically sought where infections arise in geographical areas associated with this parasite.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PKET1.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine early rings&amp;lt;/span&amp;gt;|link={{filepath:PKET1.jpg}}&lt;br /&gt;
File:PKET2a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot (right)&amp;lt;/span&amp;gt;|link={{filepath:PKET2a.jpg}}&lt;br /&gt;
File:PKET3a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé form&amp;lt;/span&amp;gt;|link={{filepath:PKET3a.jpg}}&lt;br /&gt;
File:PKET4a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple infection&amp;lt;/span&amp;gt;|link={{filepath:PKET4a.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6546</id>
		<title>Gallery of early trophozoites</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6546"/>
		<updated>2024-11-26T18:44:04Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
[[Galleries|Go Back]]&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;'''General Comments:''' At the very earliest point all trophozoites appear as ring forms and species differences are very difficult to distinguish - some &amp;quot;species specific&amp;quot; features may appear as parasites mature toward late trophozoite stages.&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
 &lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;''' ''P.falciparum'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Small delicate rings, that may be the only forms seen in some patients at diagnosis. Red cells have normal (or slightly crenated) appearance.&amp;lt;/br&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery heights=200px&amp;gt;&lt;br /&gt;
File:PFET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine ring form&amp;lt;/span&amp;gt;|link={{filepath:PFET1g.jpg}}&lt;br /&gt;
File:PFET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot form and normal ring&amp;lt;/span&amp;gt;|link={{filepath:PFET2g.jpg}}&lt;br /&gt;
File:PFET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé and double dot forms&amp;lt;/span&amp;gt;|link={{filepath:PFET3g.jpg}}&lt;br /&gt;
File:PFET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple parasite form&amp;lt;/span&amp;gt;|link={{filepath:PFET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.vivax'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;Rings begin as small forms in normal sized red cells, but as they develop both parasites and red cells become markedly [[Size and shape of infected red cells|enlarged and irregular]]. [[Schuffners dots]] develop during this stage initially as a fine dusting but becoming more prominent.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PVET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:PVET1g.jpg}}&lt;br /&gt;
File:PVET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:PVET2g.jpg}}&lt;br /&gt;
File:PVET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Intermediate trophozoite&amp;lt;/span&amp;gt;|link={{filepath:PVET3g.jpg}}&lt;br /&gt;
File:PVET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Intermediate/late trophozoite&amp;lt;/span&amp;gt;|link={{filepath:PVET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.ovale'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;As with the other species development begins with small forms and normal red cells; However as the species develops cahnges to red cells begin that might include [[fimbriation]], [[ovoid form]] and some enlargement. Similar to ''P.vivax'' the cytoplasmic James (Schuffners) dots appear initially as a fine dots but becoming more prominent as the parasites mature.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:POET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:POET1g.jpg}}&lt;br /&gt;
File:POET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring with dots/fimbriation&amp;lt;/span&amp;gt;|link={{filepath:POET2g.jpg}}&lt;br /&gt;
File:POET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;faint Ziemann's dots&amp;lt;/span&amp;gt;|link={{filepath:POET3g.jpg}}&lt;br /&gt;
File:POET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring early ovoid change&amp;lt;/span&amp;gt;|link={{filepath:POET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.malariae'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;Generally parasites are infrequent. The very early small forms become a little more robust than ''P.falciparum'', and may acquire features more typical (though not exclusive) for species including [[central chromatin dot]] forms, and early parasite [[elongation]] or angular forms. Red cells have normal size and shape or may have reduced size, cytoplasmic dots should not be present (although the uncommon fine Stinton's dots may be seen).&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:MET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring form in small red cell&amp;lt;/span&amp;gt;|link={{filepath:MET1g.jpg}}&lt;br /&gt;
File:MET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;The central chromatin dot&amp;lt;/span&amp;gt;|link={{filepath:MET2g.jpg}}&lt;br /&gt;
File:PMET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early elongation, Stinton's dots&amp;lt;/span&amp;gt;|link={{filepath:MET3g.jpg}}&lt;br /&gt;
File:MET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early angularity of form&amp;lt;/span&amp;gt;|link={{filepath:MET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.knowlesi'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;At the early trophozoite stage an infection by ''P.knowlesi'' resembles that of ''P.falciparum'' and the number of infected cells amy be high. Forms found may also resemble P.falciparum with parasites that have double chromatin dots, multiply infected red cells, or accolé forms. This may create diagnostic difficulty in cases where only early trophozoites are present. Later forms however begin to resemble parasites of ''P.malariae'' and these should be specifically sought where infections arise in geographical areas associated with this parasite.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PKET1.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine early rings&amp;lt;/span&amp;gt;|link={{filepath:PKET1.jpg}}&lt;br /&gt;
File:PKET2a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot (right)&amp;lt;/span&amp;gt;|link={{filepath:PKET2a.jpg}}&lt;br /&gt;
File:PKET3a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé form&amp;lt;/span&amp;gt;|link={{filepath:PKET3a.jpg}}&lt;br /&gt;
File:PKET4a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple infection&amp;lt;/span&amp;gt;|link={{filepath:PKET4a.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6545</id>
		<title>Gallery of early trophozoites</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6545"/>
		<updated>2024-11-26T18:43:09Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
[[Galleries|Go Back]]&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;'''General Comments:''' At the very earliest point all trophozoites appear as ring forms and species differences are very difficult to distinguish - some &amp;quot;species specific&amp;quot; features may appear as parasites mature toward late trophozoite stages.&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
 &lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;''' ''P.falciparum'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Small delicate rings, that may be the only forms seen in some patients at diagnosis. Red cells have normal (or slightly crenated) appearance.&amp;lt;/br&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=frameless widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PFET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine ring form&amp;lt;/span&amp;gt;|link={{filepath:PFET1g.jpg}}&lt;br /&gt;
File:PFET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot form and normal ring&amp;lt;/span&amp;gt;|link={{filepath:PFET2g.jpg}}&lt;br /&gt;
File:PFET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé and double dot forms&amp;lt;/span&amp;gt;|link={{filepath:PFET3g.jpg}}&lt;br /&gt;
File:PFET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple parasite form&amp;lt;/span&amp;gt;|link={{filepath:PFET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.vivax'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;Rings begin as small forms in normal sized red cells, but as they develop both parasites and red cells become markedly [[Size and shape of infected red cells|enlarged and irregular]]. [[Schuffners dots]] develop during this stage initially as a fine dusting but becoming more prominent.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PVET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:PVET1g.jpg}}&lt;br /&gt;
File:PVET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:PVET2g.jpg}}&lt;br /&gt;
File:PVET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Intermediate trophozoite&amp;lt;/span&amp;gt;|link={{filepath:PVET3g.jpg}}&lt;br /&gt;
File:PVET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Intermediate/late trophozoite&amp;lt;/span&amp;gt;|link={{filepath:PVET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.ovale'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;As with the other species development begins with small forms and normal red cells; However as the species develops cahnges to red cells begin that might include [[fimbriation]], [[ovoid form]] and some enlargement. Similar to ''P.vivax'' the cytoplasmic James (Schuffners) dots appear initially as a fine dots but becoming more prominent as the parasites mature.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:POET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:POET1g.jpg}}&lt;br /&gt;
File:POET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring with dots/fimbriation&amp;lt;/span&amp;gt;|link={{filepath:POET2g.jpg}}&lt;br /&gt;
File:POET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;faint Ziemann's dots&amp;lt;/span&amp;gt;|link={{filepath:POET3g.jpg}}&lt;br /&gt;
File:POET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring early ovoid change&amp;lt;/span&amp;gt;|link={{filepath:POET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.malariae'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;Generally parasites are infrequent. The very early small forms become a little more robust than ''P.falciparum'', and may acquire features more typical (though not exclusive) for species including [[central chromatin dot]] forms, and early parasite [[elongation]] or angular forms. Red cells have normal size and shape or may have reduced size, cytoplasmic dots should not be present (although the uncommon fine Stinton's dots may be seen).&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:MET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring form in small red cell&amp;lt;/span&amp;gt;|link={{filepath:MET1g.jpg}}&lt;br /&gt;
File:MET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;The central chromatin dot&amp;lt;/span&amp;gt;|link={{filepath:MET2g.jpg}}&lt;br /&gt;
File:PMET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early elongation, Stinton's dots&amp;lt;/span&amp;gt;|link={{filepath:MET3g.jpg}}&lt;br /&gt;
File:MET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early angularity of form&amp;lt;/span&amp;gt;|link={{filepath:MET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.knowlesi'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;At the early trophozoite stage an infection by ''P.knowlesi'' resembles that of ''P.falciparum'' and the number of infected cells amy be high. Forms found may also resemble P.falciparum with parasites that have double chromatin dots, multiply infected red cells, or accolé forms. This may create diagnostic difficulty in cases where only early trophozoites are present. Later forms however begin to resemble parasites of ''P.malariae'' and these should be specifically sought where infections arise in geographical areas associated with this parasite.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PKET1.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine early rings&amp;lt;/span&amp;gt;|link={{filepath:PKET1.jpg}}&lt;br /&gt;
File:PKET2a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot (right)&amp;lt;/span&amp;gt;|link={{filepath:PKET2a.jpg}}&lt;br /&gt;
File:PKET3a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé form&amp;lt;/span&amp;gt;|link={{filepath:PKET3a.jpg}}&lt;br /&gt;
File:PKET4a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple infection&amp;lt;/span&amp;gt;|link={{filepath:PKET4a.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6544</id>
		<title>Gallery of early trophozoites</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6544"/>
		<updated>2024-11-26T18:42:09Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
[[Galleries|Go Back]]&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;'''General Comments:''' At the very earliest point all trophozoites appear as ring forms and species differences are very difficult to distinguish - some &amp;quot;species specific&amp;quot; features may appear as parasites mature toward late trophozoite stages.&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
 &lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;''' ''P.falciparum'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Small delicate rings, that may be the only forms seen in some patients at diagnosis. Red cells have normal (or slightly crenated) appearance.&amp;lt;/br&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;frameless&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PFET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine ring form&amp;lt;/span&amp;gt;|link={{filepath:PFET1g.jpg}}&lt;br /&gt;
File:PFET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot form and normal ring&amp;lt;/span&amp;gt;|link={{filepath:PFET2g.jpg}}&lt;br /&gt;
File:PFET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé and double dot forms&amp;lt;/span&amp;gt;|link={{filepath:PFET3g.jpg}}&lt;br /&gt;
File:PFET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple parasite form&amp;lt;/span&amp;gt;|link={{filepath:PFET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.vivax'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;Rings begin as small forms in normal sized red cells, but as they develop both parasites and red cells become markedly [[Size and shape of infected red cells|enlarged and irregular]]. [[Schuffners dots]] develop during this stage initially as a fine dusting but becoming more prominent.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PVET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:PVET1g.jpg}}&lt;br /&gt;
File:PVET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:PVET2g.jpg}}&lt;br /&gt;
File:PVET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Intermediate trophozoite&amp;lt;/span&amp;gt;|link={{filepath:PVET3g.jpg}}&lt;br /&gt;
File:PVET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Intermediate/late trophozoite&amp;lt;/span&amp;gt;|link={{filepath:PVET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.ovale'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;As with the other species development begins with small forms and normal red cells; However as the species develops cahnges to red cells begin that might include [[fimbriation]], [[ovoid form]] and some enlargement. Similar to ''P.vivax'' the cytoplasmic James (Schuffners) dots appear initially as a fine dots but becoming more prominent as the parasites mature.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:POET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:POET1g.jpg}}&lt;br /&gt;
File:POET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring with dots/fimbriation&amp;lt;/span&amp;gt;|link={{filepath:POET2g.jpg}}&lt;br /&gt;
File:POET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;faint Ziemann's dots&amp;lt;/span&amp;gt;|link={{filepath:POET3g.jpg}}&lt;br /&gt;
File:POET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring early ovoid change&amp;lt;/span&amp;gt;|link={{filepath:POET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.malariae'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;Generally parasites are infrequent. The very early small forms become a little more robust than ''P.falciparum'', and may acquire features more typical (though not exclusive) for species including [[central chromatin dot]] forms, and early parasite [[elongation]] or angular forms. Red cells have normal size and shape or may have reduced size, cytoplasmic dots should not be present (although the uncommon fine Stinton's dots may be seen).&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:MET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring form in small red cell&amp;lt;/span&amp;gt;|link={{filepath:MET1g.jpg}}&lt;br /&gt;
File:MET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;The central chromatin dot&amp;lt;/span&amp;gt;|link={{filepath:MET2g.jpg}}&lt;br /&gt;
File:PMET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early elongation, Stinton's dots&amp;lt;/span&amp;gt;|link={{filepath:MET3g.jpg}}&lt;br /&gt;
File:MET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early angularity of form&amp;lt;/span&amp;gt;|link={{filepath:MET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.knowlesi'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;At the early trophozoite stage an infection by ''P.knowlesi'' resembles that of ''P.falciparum'' and the number of infected cells amy be high. Forms found may also resemble P.falciparum with parasites that have double chromatin dots, multiply infected red cells, or accolé forms. This may create diagnostic difficulty in cases where only early trophozoites are present. Later forms however begin to resemble parasites of ''P.malariae'' and these should be specifically sought where infections arise in geographical areas associated with this parasite.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PKET1.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine early rings&amp;lt;/span&amp;gt;|link={{filepath:PKET1.jpg}}&lt;br /&gt;
File:PKET2a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot (right)&amp;lt;/span&amp;gt;|link={{filepath:PKET2a.jpg}}&lt;br /&gt;
File:PKET3a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé form&amp;lt;/span&amp;gt;|link={{filepath:PKET3a.jpg}}&lt;br /&gt;
File:PKET4a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple infection&amp;lt;/span&amp;gt;|link={{filepath:PKET4a.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6543</id>
		<title>Gallery of early trophozoites</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6543"/>
		<updated>2024-11-26T18:40:44Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
[[Galleries|Go Back]]&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;'''General Comments:''' At the very earliest point all trophozoites appear as ring forms and species differences are very difficult to distinguish - some &amp;quot;species specific&amp;quot; features may appear as parasites mature toward late trophozoite stages.&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
 &lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;''' ''P.falciparum'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Small delicate rings, that may be the only forms seen in some patients at diagnosis. Red cells have normal (or slightly crenated) appearance.&amp;lt;/br&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PFET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine ring form&amp;lt;/span&amp;gt;|link={{filepath:PFET1g.jpg}}&lt;br /&gt;
File:PFET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot form and normal ring&amp;lt;/span&amp;gt;|link={{filepath:PFET2g.jpg}}&lt;br /&gt;
File:PFET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé and double dot forms&amp;lt;/span&amp;gt;|link={{filepath:PFET3g.jpg}}&lt;br /&gt;
File:PFET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple parasite form&amp;lt;/span&amp;gt;|link={{filepath:PFET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.vivax'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;Rings begin as small forms in normal sized red cells, but as they develop both parasites and red cells become markedly [[Size and shape of infected red cells|enlarged and irregular]]. [[Schuffners dots]] develop during this stage initially as a fine dusting but becoming more prominent.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PVET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:PVET1g.jpg}}&lt;br /&gt;
File:PVET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:PVET2g.jpg}}&lt;br /&gt;
File:PVET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Intermediate trophozoite&amp;lt;/span&amp;gt;|link={{filepath:PVET3g.jpg}}&lt;br /&gt;
File:PVET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Intermediate/late trophozoite&amp;lt;/span&amp;gt;|link={{filepath:PVET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.ovale'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;As with the other species development begins with small forms and normal red cells; However as the species develops cahnges to red cells begin that might include [[fimbriation]], [[ovoid form]] and some enlargement. Similar to ''P.vivax'' the cytoplasmic James (Schuffners) dots appear initially as a fine dots but becoming more prominent as the parasites mature.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:POET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:POET1g.jpg}}&lt;br /&gt;
File:POET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring with dots/fimbriation&amp;lt;/span&amp;gt;|link={{filepath:POET2g.jpg}}&lt;br /&gt;
File:POET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;faint Ziemann's dots&amp;lt;/span&amp;gt;|link={{filepath:POET3g.jpg}}&lt;br /&gt;
File:POET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring early ovoid change&amp;lt;/span&amp;gt;|link={{filepath:POET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.malariae'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;Generally parasites are infrequent. The very early small forms become a little more robust than ''P.falciparum'', and may acquire features more typical (though not exclusive) for species including [[central chromatin dot]] forms, and early parasite [[elongation]] or angular forms. Red cells have normal size and shape or may have reduced size, cytoplasmic dots should not be present (although the uncommon fine Stinton's dots may be seen).&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:MET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring form in small red cell&amp;lt;/span&amp;gt;|link={{filepath:MET1g.jpg}}&lt;br /&gt;
File:MET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;The central chromatin dot&amp;lt;/span&amp;gt;|link={{filepath:MET2g.jpg}}&lt;br /&gt;
File:PMET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early elongation, Stinton's dots&amp;lt;/span&amp;gt;|link={{filepath:MET3g.jpg}}&lt;br /&gt;
File:MET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early angularity of form&amp;lt;/span&amp;gt;|link={{filepath:MET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.knowlesi'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;At the early trophozoite stage an infection by ''P.knowlesi'' resembles that of ''P.falciparum'' and the number of infected cells amy be high. Forms found may also resemble P.falciparum with parasites that have double chromatin dots, multiply infected red cells, or accolé forms. This may create diagnostic difficulty in cases where only early trophozoites are present. Later forms however begin to resemble parasites of ''P.malariae'' and these should be specifically sought where infections arise in geographical areas associated with this parasite.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PKET1.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine early rings&amp;lt;/span&amp;gt;|link={{filepath:PKET1.jpg}}&lt;br /&gt;
File:PKET2a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot (right)&amp;lt;/span&amp;gt;|link={{filepath:PKET2a.jpg}}&lt;br /&gt;
File:PKET3a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé form&amp;lt;/span&amp;gt;|link={{filepath:PKET3a.jpg}}&lt;br /&gt;
File:PKET4a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple infection&amp;lt;/span&amp;gt;|link={{filepath:PKET4a.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6542</id>
		<title>Gallery of early trophozoites</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Gallery_of_early_trophozoites&amp;diff=6542"/>
		<updated>2024-11-26T18:39:01Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
[[Galleries|Go Back]]&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;'''General Comments:''' At the very earliest point all trophozoites appear as ring forms and species differences are very difficult to distinguish - some &amp;quot;species specific&amp;quot; features may appear as parasites mature toward late trophozoite stages.&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
 &lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;''' ''P.falciparum'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;Small delicate rings, within red cells of normal (or slightly crenated) appearance.&amp;lt;/br&amp;gt;These may be the only forms seen in some patients at diagnosis.&amp;lt;/br&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PFET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine ring form&amp;lt;/span&amp;gt;|link={{filepath:PFET1g.jpg}}&lt;br /&gt;
File:PFET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot form and normal ring&amp;lt;/span&amp;gt;|link={{filepath:PFET2g.jpg}}&lt;br /&gt;
File:PFET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé and double dot forms&amp;lt;/span&amp;gt;|link={{filepath:PFET3g.jpg}}&lt;br /&gt;
File:PFET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple parasite form&amp;lt;/span&amp;gt;|link={{filepath:PFET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.vivax'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;Rings begin as small forms in normal sized red cells, but as they develop both parasites and red cells become markedly [[Size and shape of infected red cells|enlarged and irregular]]. [[Schuffners dots]] develop during this stage initially as a fine dusting but becoming more prominent.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PVET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:PVET1g.jpg}}&lt;br /&gt;
File:PVET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:PVET2g.jpg}}&lt;br /&gt;
File:PVET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Intermediate trophozoite&amp;lt;/span&amp;gt;|link={{filepath:PVET3g.jpg}}&lt;br /&gt;
File:PVET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Intermediate/late trophozoite&amp;lt;/span&amp;gt;|link={{filepath:PVET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.ovale'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;As with the other species development begins with small forms and normal red cells; However as the species develops cahnges to red cells begin that might include [[fimbriation]], [[ovoid form]] and some enlargement. Similar to ''P.vivax'' the cytoplasmic James (Schuffners) dots appear initially as a fine dots but becoming more prominent as the parasites mature.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:POET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early ring form&amp;lt;/span&amp;gt;|link={{filepath:POET1g.jpg}}&lt;br /&gt;
File:POET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring with dots/fimbriation&amp;lt;/span&amp;gt;|link={{filepath:POET2g.jpg}}&lt;br /&gt;
File:POET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;faint Ziemann's dots&amp;lt;/span&amp;gt;|link={{filepath:POET3g.jpg}}&lt;br /&gt;
File:POET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring early ovoid change&amp;lt;/span&amp;gt;|link={{filepath:POET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.malariae'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;Generally parasites are infrequent. The very early small forms become a little more robust than ''P.falciparum'', and may acquire features more typical (though not exclusive) for species including [[central chromatin dot]] forms, and early parasite [[elongation]] or angular forms. Red cells have normal size and shape or may have reduced size, cytoplasmic dots should not be present (although the uncommon fine Stinton's dots may be seen).&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:MET1g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Ring form in small red cell&amp;lt;/span&amp;gt;|link={{filepath:MET1g.jpg}}&lt;br /&gt;
File:MET2g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;The central chromatin dot&amp;lt;/span&amp;gt;|link={{filepath:MET2g.jpg}}&lt;br /&gt;
File:PMET3g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early elongation, Stinton's dots&amp;lt;/span&amp;gt;|link={{filepath:MET3g.jpg}}&lt;br /&gt;
File:MET4g.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Early angularity of form&amp;lt;/span&amp;gt;|link={{filepath:MET4g.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&amp;quot;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;''' ''P.knowlesi'' '''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:95%&amp;quot;&amp;gt;At the early trophozoite stage an infection by ''P.knowlesi'' resembles that of ''P.falciparum'' and the number of infected cells amy be high. Forms found may also resemble P.falciparum with parasites that have double chromatin dots, multiply infected red cells, or accolé forms. This may create diagnostic difficulty in cases where only early trophozoites are present. Later forms however begin to resemble parasites of ''P.malariae'' and these should be specifically sought where infections arise in geographical areas associated with this parasite.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;traditional&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:PKET1.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Fine early rings&amp;lt;/span&amp;gt;|link={{filepath:PKET1.jpg}}&lt;br /&gt;
File:PKET2a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Double dot (right)&amp;lt;/span&amp;gt;|link={{filepath:PKET2a.jpg}}&lt;br /&gt;
File:PKET3a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Accolé form&amp;lt;/span&amp;gt;|link={{filepath:PKET3a.jpg}}&lt;br /&gt;
File:PKET4a.jpg|&amp;lt;span style=&amp;quot;font-size:80%&amp;quot;&amp;gt;Multiple infection&amp;lt;/span&amp;gt;|link={{filepath:PKET4a.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Thick_film_interpretation&amp;diff=6541</id>
		<title>Thick film interpretation</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Thick_film_interpretation&amp;diff=6541"/>
		<updated>2024-11-20T19:24:59Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;widthe:90%; border-style: solid; border-width: 4px; border-color:teal&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:140%; color:black; background: FFFAFA&amp;quot;|&amp;lt;span style=&amp;quot;color:black&amp;gt;'''Please come back soon'''&amp;lt;/span&amp;gt;&lt;br /&gt;
&lt;br /&gt;
This page is under development and will be available soon&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Thick_film_interpretation&amp;diff=6540</id>
		<title>Thick film interpretation</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Thick_film_interpretation&amp;diff=6540"/>
		<updated>2024-11-20T19:23:55Z</updated>

		<summary type="html">&lt;p&gt;Admin: Created page with &amp;quot;This page is under development and will be available soon&amp;quot;&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;This page is under development and will be available soon&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Cytoplasmic_dots&amp;diff=6539</id>
		<title>Cytoplasmic dots</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Cytoplasmic_dots&amp;diff=6539"/>
		<updated>2024-11-14T17:01:12Z</updated>

		<summary type="html">&lt;p&gt;Admin: Created page with &amp;quot;{{DISPLAYTITLE:&amp;lt;span style=&amp;quot;position: absolute; clip: rect(1px 1px 1px 1px); clip: rect(1px, 1px, 1px, 1px);&amp;quot;&amp;gt;{{FULLPAGENAME}}&amp;lt;/span&amp;gt;}} '''Navigation'''&amp;lt;/br&amp;gt;  &amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;Main Malaria Index''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt; &amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;Malaria Biology Index''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt; &amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;&amp;gt;Biology of the trophozoite&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt; &amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;&amp;gt;Current page...&amp;quot;&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{DISPLAYTITLE:&amp;lt;span style=&amp;quot;position: absolute; clip: rect(1px 1px 1px 1px); clip: rect(1px, 1px, 1px, 1px);&amp;quot;&amp;gt;{{FULLPAGENAME}}&amp;lt;/span&amp;gt;}}&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;[[Malaria_Index|Main Malaria Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;[[Malaria_Biology|Malaria Biology Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;&amp;gt;[[Biology of the trophozoite stage|Biology of the trophozoite]]&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;&amp;gt;Current page: '''Malaria Pigment'''&amp;lt;/span&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;widthe:90%; border-style: solid; border-width: 4px; border-color:teal&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:140%; color:black; background: FFFAFA&amp;quot;|&amp;lt;span style=&amp;quot;color:black&amp;gt;'''Malaria Pigment'''&amp;lt;/span&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=&amp;quot;220px&amp;quot; heights=&amp;quot;220px&amp;quot; &amp;gt;&lt;br /&gt;
File:Pig1.jpg|link={{filepath:MPi1.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Biology_of_the_trophozoite_stage&amp;diff=6538</id>
		<title>Biology of the trophozoite stage</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Biology_of_the_trophozoite_stage&amp;diff=6538"/>
		<updated>2024-11-14T17:00:51Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{DISPLAYTITLE:&amp;lt;span style=&amp;quot;position: absolute; clip: rect(1px 1px 1px 1px); clip: rect(1px, 1px, 1px, 1px);&amp;quot;&amp;gt;{{FULLPAGENAME}}&amp;lt;/span&amp;gt;}}&lt;br /&gt;
----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;[[Malaria_Index|Main Malaria Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;[[Malaria_Biology|Malaria Biology Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;&amp;gt;Current page: '''Biology of the trophozoite'''&amp;lt;/span&amp;gt;&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:160%; color:navy&amp;quot;&amp;gt;The biology of the trophozoite stage&amp;lt;/br&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-style: solid; border-width: 4px; border-color:light gray&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:100%; color:black; background: white&amp;quot;|&amp;lt;span style=&amp;quot;color:navy&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''The starting point'''&amp;lt;/br&amp;gt;All malaria parasites appear as &amp;quot;ring forms&amp;quot; ofter they first enter the red cell and initially all species share the same features and are very difficult to distinguish. The appearance of a ring is shown below comprising a the dark chromatin dot (Chr) - this is occasionally a double dot; pale blue cytoplasm (Cyt) surrounding a central vacuole (Vac).&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;However, during this trophozoite stage the parasite progressively develops to allow it to eventually form a schizont or gametocyte. This require numerous changes - some of which differ between species, and are used to as features to distinguish them (see descriptions below).  &lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_2.jpg}}&lt;br /&gt;
File:ET_stage_1c.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_1c.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Feeding'''&amp;lt;/br&amp;gt;The development of the parasite requires energy and protein - the protein is acquired through the metabolism of haemoglobin. This is ongoing throughout all stages, but the effects first become apparent in the late trophozoite stage where two changes may be observed. First, the red cell changes colour compared to normal red cells as parasites metabolise the globin (protein) part of the haemoglobin molecule. As a result, red cells begin to lose haemoglobin pigment (for an appropriately stained slide this means they become paler grey). Second, the detoxification of the haem element of haemoglobin results in the formation of the parasite-produced &amp;quot;haemozoin&amp;quot; which can be seen as [[malaria pigment biology|malaria pigment]].&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;These changes may not be that obvious during the trophozoite stage, and the change to pallor or the appearance of the pigment may differ between species, but will generally be detected by the late trophzoite stage (shown below for a late trophozoite of ''P.malaria'').&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_1_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_1_title.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism-label.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism-label.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Communication, nutrition and immune evasion'''&amp;lt;/br&amp;gt;Parasites are not simply passive passengers within red cells. They require nutrition and to remove toxing. The parasites may also modify the red cell to avoid destruction by the immune system. To do this they modify the erythrocyte in a range of ways. Many of these changes are not seen by standard microscopy, but the formation of visible &amp;quot;dot-like&amp;quot; stuctures represent one such modification. [[Cytoplasmic dots|Different types of cytoplasmic dots may (to a greater or lesser extent) seen in all species]] depending on staining characteristics. However, the best known are the Schüffner's or James' dots seen in ''P.vivax'' and ''P.ovale'', or the Maurer's dosts and clefts of ''P.falciparum''. The parasite images below show first the frequent pink/purple Schüffner's dots in ''P.vivax'' then Maurer's dots and clefts in ''P.falciparum''. &lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_2_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_2_title.jpg}}&lt;br /&gt;
File:LT_dots_1.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_dots_1.jpg}}&lt;br /&gt;
File:LT_dots_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_dots_2.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Cytoskeleton and adhesion'''&amp;lt;/br&amp;gt;A further red cell modification affects the red cell cytoskeleton. Like other features the nature of the changes differs between species. The purpose of the changes are not fully clear in each case, but it is clear that red cells containing parasites differ in adhesion properties when compared with uninfected cells, a change that is likely to alter their interaction with the immune system or allow them to sequester in particular compartments of the circulation. The changes to [[Altered red cell size and shape|red cell size and shape]] are described in separate sections, and also in the &amp;quot;Species recognition&amp;quot; pages. Two particularly characteristic features, the substantial enlargement and irregularity of ''P.vivax'' and the reduced red cell size that is typical of ''P.malariae'' are shown below.&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_3_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_3_title.jpg}}&lt;br /&gt;
File:LT_size_1.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_size_1.jpg}}&lt;br /&gt;
File:LT_size_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_size_2.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Biology_of_the_trophozoite_stage&amp;diff=6537</id>
		<title>Biology of the trophozoite stage</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Biology_of_the_trophozoite_stage&amp;diff=6537"/>
		<updated>2024-11-14T17:00:14Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{DISPLAYTITLE:&amp;lt;span style=&amp;quot;position: absolute; clip: rect(1px 1px 1px 1px); clip: rect(1px, 1px, 1px, 1px);&amp;quot;&amp;gt;{{FULLPAGENAME}}&amp;lt;/span&amp;gt;}}&lt;br /&gt;
----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;[[Malaria_Index|Main Malaria Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;[[Malaria_Biology|Malaria Biology Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;&amp;gt;Current page: '''Biology of the trophozoite'''&amp;lt;/span&amp;gt;&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:160%; color:navy&amp;quot;&amp;gt;The biology of the trophozoite stage&amp;lt;/br&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-style: solid; border-width: 4px; border-color:light gray&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:100%; color:black; background: white&amp;quot;|&amp;lt;span style=&amp;quot;color:navy&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''The starting point'''&amp;lt;/br&amp;gt;All malaria parasites appear as &amp;quot;ring forms&amp;quot; ofter they first enter the red cell and initially all species share the same features and are very difficult to distinguish. The appearance of a ring is shown below comprising a the dark chromatin dot (Chr) - this is occasionally a double dot; pale blue cytoplasm (Cyt) surrounding a central vacuole (Vac).&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;However, during this trophozoite stage the parasite progressively develops to allow it to eventually form a schizont or gametocyte. This require numerous changes - some of which differ between species, and are used to as features to distinguish them (see descriptions below).  &lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_2.jpg}}&lt;br /&gt;
File:ET_stage_1c.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_1c.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Feeding'''&amp;lt;/br&amp;gt;The development of the parasite requires energy and protein - the protein is acquired through the metabolism of haemoglobin. This is ongoing throughout all stages, but the effects first become apparent in the late trophozoite stage where two changes may be observed. First, the red cell changes colour compared to normal red cells as parasites metabolise the globin (protein) part of the haemoglobin molecule. As a result, red cells begin to lose haemoglobin pigment (for an appropriately stained slide this means they become paler grey). Second, the detoxification of the haem element of haemoglobin results in the formation of the parasite-produced &amp;quot;haemozoin&amp;quot; which can be seen as [[malaria pigment biology|malaria pigment]].&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;These changes may not be that obvious during the trophozoite stage, and the change to pallor or the appearance of the pigment may differ between species, but will generally be detected by the late trophzoite stage (shown below for a late trophozoite of ''P.malaria'').&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_1_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_1_title.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism-label.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism-label.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Communication, nutrition and immune evasion'''&amp;lt;/br&amp;gt;Parasites are not simply passive passengers within red cells. They require nutrition and to remove toxing. The parasites may also modify the red cell to avoid destruction by the immune system. To do this they modify the erythrocyte in a range of ways. Many of these changes are not seen by standard microscopy, but the formation of visible &amp;quot;dot-like&amp;quot; stuctures represent one such modification. [[Gytoplasmic dots|Different types of cytoplasmic dots may (to a greater or lesser extent) seen in all species]] depending on staining characteristics. However, the best known are the Schüffner's or James' dots seen in ''P.vivax'' and ''P.ovale'', or the Maurer's dosts and clefts of ''P.falciparum''. The parasite images below show first the frequent pink/purple Schüffner's dots in ''P.vivax'' then Maurer's dots and clefts in ''P.falciparum''. &lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_2_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_2_title.jpg}}&lt;br /&gt;
File:LT_dots_1.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_dots_1.jpg}}&lt;br /&gt;
File:LT_dots_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_dots_2.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Cytoskeleton and adhesion'''&amp;lt;/br&amp;gt;A further red cell modification affects the red cell cytoskeleton. Like other features the nature of the changes differs between species. The purpose of the changes are not fully clear in each case, but it is clear that red cells containing parasites differ in adhesion properties when compared with uninfected cells, a change that is likely to alter their interaction with the immune system or allow them to sequester in particular compartments of the circulation. The changes to [[Altered red cell size and shape|red cell size and shape]] are described in separate sections, and also in the &amp;quot;Species recognition&amp;quot; pages. Two particularly characteristic features, the substantial enlargement and irregularity of ''P.vivax'' and the reduced red cell size that is typical of ''P.malariae'' are shown below.&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_3_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_3_title.jpg}}&lt;br /&gt;
File:LT_size_1.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_size_1.jpg}}&lt;br /&gt;
File:LT_size_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_size_2.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Biology_of_the_trophozoite_stage&amp;diff=6536</id>
		<title>Biology of the trophozoite stage</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Biology_of_the_trophozoite_stage&amp;diff=6536"/>
		<updated>2024-11-12T15:36:20Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{DISPLAYTITLE:&amp;lt;span style=&amp;quot;position: absolute; clip: rect(1px 1px 1px 1px); clip: rect(1px, 1px, 1px, 1px);&amp;quot;&amp;gt;{{FULLPAGENAME}}&amp;lt;/span&amp;gt;}}&lt;br /&gt;
----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;[[Malaria_Index|Main Malaria Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;[[Malaria_Biology|Malaria Biology Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;&amp;gt;Current page: '''Biology of the trophozoite'''&amp;lt;/span&amp;gt;&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:160%; color:navy&amp;quot;&amp;gt;The biology of the trophozoite stage&amp;lt;/br&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-style: solid; border-width: 4px; border-color:light gray&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:100%; color:black; background: white&amp;quot;|&amp;lt;span style=&amp;quot;color:navy&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''The starting point'''&amp;lt;/br&amp;gt;All malaria parasites appear as &amp;quot;ring forms&amp;quot; ofter they first enter the red cell and initially all species share the same features and are very difficult to distinguish. The appearance of a ring is shown below comprising a the dark chromatin dot (Chr) - this is occasionally a double dot; pale blue cytoplasm (Cyt) surrounding a central vacuole (Vac).&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;However, during this trophozoite stage the parasite progressively develops to allow it to eventually form a schizont or gametocyte. This require numerous changes - some of which differ between species, and are used to as features to distinguish them (see descriptions below).  &lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_2.jpg}}&lt;br /&gt;
File:ET_stage_1c.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_1c.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Feeding'''&amp;lt;/br&amp;gt;The development of the parasite requires energy and protein - the protein is acquired through the metabolism of haemoglobin. This is ongoing throughout all stages, but the effects first become apparent in the late trophozoite stage where two changes may be observed. First, the red cell changes colour compared to normal red cells as parasites metabolise the globin (protein) part of the haemoglobin molecule. As a result, red cells begin to lose haemoglobin pigment (for an appropriately stained slide this means they become paler grey). Second, the detoxification of the haem element of haemoglobin results in the formation of the parasite-produced &amp;quot;haemozoin&amp;quot; which can be seen as [[malaria pigment biology|malaria pigment]].&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;These changes may not be that obvious during the trophozoite stage, and the change to pallor or the appearance of the pigment may differ between species, but will generally be detected by the late trophzoite stage (shown below for a late trophozoite of ''P.malaria'').&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_1_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_1_title.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism-label.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism-label.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Communication, nutrition and immune evasion'''&amp;lt;/br&amp;gt;Parasites are not simply passive passengers within red cells. They require nutrition and to remove toxing. The parasites may also modify the red cell to avoid destruction by the immune system. To do this they modify the erythrocyte in a range of ways. Many of these changes are not seen by standard microscopy, but the formation of visible &amp;quot;dot-like&amp;quot; stuctures represent one such modification. [[Different types of cytoplasmic dots may (to a greater or lesser extent) seen in all species]] depending on staining characteristics. However, the best known are the Schüffner's or James' dots seen in ''P.vivax'' and ''P.ovale'', or the Maurer's dosts and clefts of ''P.falciparum''. The parasite images below show first the frequent pink/purple Schüffner's dots in ''P.vivax'' then Maurer's dots and clefts in ''P.falciparum''. &lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_2_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_2_title.jpg}}&lt;br /&gt;
File:LT_dots_1.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_dots_1.jpg}}&lt;br /&gt;
File:LT_dots_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_dots_2.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Cytoskeleton and adhesion'''&amp;lt;/br&amp;gt;A further red cell modification affects the red cell cytoskeleton. Like other features the nature of the changes differs between species. The purpose of the changes are not fully clear in each case, but it is clear that red cells containing parasites differ in adhesion properties when compared with uninfected cells, a change that is likely to alter their interaction with the immune system or allow them to sequester in particular compartments of the circulation. The changes to [[Altered red cell size and shape|red cell size and shape]] are described in separate sections, and also in the &amp;quot;Species recognition&amp;quot; pages. Two particularly characteristic features, the substantial enlargement and irregularity of ''P.vivax'' and the reduced red cell size that is typical of ''P.malariae'' are shown below.&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_3_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_3_title.jpg}}&lt;br /&gt;
File:LT_size_1.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_size_1.jpg}}&lt;br /&gt;
File:LT_size_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_size_2.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Biology_of_the_trophozoite_stage&amp;diff=6535</id>
		<title>Biology of the trophozoite stage</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Biology_of_the_trophozoite_stage&amp;diff=6535"/>
		<updated>2024-11-12T15:36:01Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{DISPLAYTITLE:&amp;lt;span style=&amp;quot;position: absolute; clip: rect(1px 1px 1px 1px); clip: rect(1px, 1px, 1px, 1px);&amp;quot;&amp;gt;{{FULLPAGENAME}}&amp;lt;/span&amp;gt;}}&lt;br /&gt;
----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;[[Malaria_Index|Main Malaria Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;[[Malaria_Biology|Malaria Biology Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;&amp;gt;Current page: '''Biology of the trophozoite'''&amp;lt;/span&amp;gt;&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:160%; color:navy&amp;quot;&amp;gt;The biology of the trophozoite stage&amp;lt;/br&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-style: solid; border-width: 4px; border-color:light gray&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:100%; color:black; background: white&amp;quot;|&amp;lt;span style=&amp;quot;color:navy&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''The starting point'''&amp;lt;/br&amp;gt;All malaria parasites appear as &amp;quot;ring forms&amp;quot; ofter they first enter the red cell and initially all species share the same features and are very difficult to distinguish. The appearance of a ring is shown below comprising a the dark chromatin dot (Chr) - this is occasionally a double dot; pale blue cytoplasm (Cyt) surrounding a central vacuole (Vac).&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;However, during this trophozoite stage the parasite progressively develops to allow it to eventually form a schizont or gametocyte. This require numerous changes - some of which differ between species, and are used to as features to distinguish them (see descriptions below).  &lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_2.jpg}}&lt;br /&gt;
File:ET_stage_1c.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_1c.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Feeding'''&amp;lt;/br&amp;gt;The development of the parasite requires energy and protein - the protein is acquired through the metabolism of haemoglobin. This is ongoing throughout all stages, but the effects first become apparent in the late trophozoite stage where two changes may be observed. First, the red cell changes colour compared to normal red cells as parasites metabolise the globin (protein) part of the haemoglobin molecule. As a result, red cells begin to lose haemoglobin pigment (for an appropriately stained slide this means they become paler grey). Second, the detoxification of the haem element of haemoglobin results in the formation of the parasite-produced &amp;quot;haemozoin&amp;quot; which can be seen as [[malaria pigment biology|malaria pigment]].&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;These changes may not be that obvious during the trophozoite stage, and the change to pallor or the appearance of the pigment may differ between species, but will generally be detected by the late trophzoite stage (shown below for a late trophozoite of ''P.malaria'').&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_1_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_1_title.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism-label.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism-label.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Communication, nutrition and immune evasion'''&amp;lt;/br&amp;gt;Parasites are not simply passive passengers within red cells. They require nutrition and to remove toxing. The parasites may also modify the red cell to avoid destruction by the immune system. To do this they modify the erythrocyte in a range of ways. Many of these changes are not seen by standard microscopy, but the formation of visible &amp;quot;dot-like&amp;quot; stuctures represent one such modification. [[Different types of cytoplasmic dots may (to a greater or lesser extent) seen in all species]] depending on staining characteristics. However, the best known are the Schüffner's or James' dots seen in ''P.vivax'' and ''P.ovale'', or the Maurer's dosts and clefts of ''P.falciparum''. The parasite images below show first the frequent pink/purple Schüffner's dots in ''P.vivax'' then Maurer's dots and clefts in ''P.falciparum''. &lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_2_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_2_title.jpg}}&lt;br /&gt;
File:LT_dots_1.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_dots_1.jpg}}&lt;br /&gt;
File:LT_dots_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_dots_2.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Cytoskeleton and adhesion'''&amp;lt;/br&amp;gt;A further red cell modification affects the red cell cytoskeleton. Like other features the nature of the changes differs between species. The purpose of the changes are not fully clear in each case, but it is clear that red cells containing parasites differ in adhesion properties when compared with uninfected cells, a change that is likely to alter their interaction with the immune system or allow them to sequester in particular compartments of the circulation. The changes to [[Altered red cell size and shape|red cell size and shape]] are described in separate sections, and also in the &amp;quot;Species recognition&amp;quot; pages. Two particularly characteristic features, the substantial enlargement and irregularity of ''P.vivax'' and the reduced red cell size that is typical of ''P.malariae'' are shown below.&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_3_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_3_title.jpg}}&lt;br /&gt;
File:LT_size_1.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_size_1.jpg}}&lt;br /&gt;
File:LT_size_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_size_2.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
---&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Biology_of_the_trophozoite_stage&amp;diff=6534</id>
		<title>Biology of the trophozoite stage</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Biology_of_the_trophozoite_stage&amp;diff=6534"/>
		<updated>2024-11-12T15:33:21Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{DISPLAYTITLE:&amp;lt;span style=&amp;quot;position: absolute; clip: rect(1px 1px 1px 1px); clip: rect(1px, 1px, 1px, 1px);&amp;quot;&amp;gt;{{FULLPAGENAME}}&amp;lt;/span&amp;gt;}}&lt;br /&gt;
----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;[[Malaria_Index|Main Malaria Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;[[Malaria_Biology|Malaria Biology Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;&amp;gt;Current page: '''Biology of the trophozoite'''&amp;lt;/span&amp;gt;&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:160%; color:navy&amp;quot;&amp;gt;The biology of the trophozoite stage&amp;lt;/br&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-style: solid; border-width: 4px; border-color:light gray&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:100%; color:black; background: white&amp;quot;|&amp;lt;span style=&amp;quot;color:navy&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''The starting point'''&amp;lt;/br&amp;gt;All malaria parasites appear as &amp;quot;ring forms&amp;quot; ofter they first enter the red cell and initially all species share the same features and are very difficult to distinguish. The appearance of a ring is shown below comprising a the dark chromatin dot (Chr) - this is occasionally a double dot; pale blue cytoplasm (Cyt) surrounding a central vacuole (Vac).&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;However, during this trophozoite stage the parasite progressively develops to allow it to eventually form a schizont or gametocyte. This require numerous changes - some of which differ between species, and are used to as features to distinguish them (see descriptions below).  &lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_2.jpg}}&lt;br /&gt;
File:ET_stage_1c.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_1c.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Feeding'''&amp;lt;/br&amp;gt;The development of the parasite requires energy and protein - the protein is acquired through the metabolism of haemoglobin. This is ongoing throughout all stages, but the effects first become apparent in the late trophozoite stage where two changes may be observed. First, the red cell changes colour compared to normal red cells as parasites metabolise the globin (protein) part of the haemoglobin molecule. As a result, red cells begin to lose haemoglobin pigment (for an appropriately stained slide this means they become paler grey). Second, the detoxification of the haem element of haemoglobin results in the formation of the parasite-produced &amp;quot;haemozoin&amp;quot; which can be seen as [[malaria pigment biology|malaria pigment]].&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;These changes may not be that obvious during the trophozoite stage, and the change to pallor or the appearance of the pigment may differ between species, but will generally be detected by the late trophzoite stage (shown below for a late trophozoite of ''P.malaria'').&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_1_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_1_title.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism-label.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism-label.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Communication, nutrition and immune evasion'''&amp;lt;/br&amp;gt;Parasites are not simply passive passengers within red cells. They require nutrition and to remove toxing. The parasites may also modify the red cell to avoid destruction by the immune system. To do this they modify the erythrocyte in a range of ways. Many of these changes are not seen by standard microscopy, but the formation of visible &amp;quot;dot-like&amp;quot; stuctures represent one such modification. [[Different types of cytoplasmic dots may (to a greater or lesser extent) seen in all species]] depending on staining characteristics. However, the best known are the Schüffner's or James' dots seen in ''P.vivax'' and ''P.ovale'', or the Maurer's dosts and clefts of ''P.falciparum''. The parasite images below show first the frequent pink/purple Schüffner's dots in ''P.vivax'' then Maurer's dots and clefts in ''P.falciparum''. &lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_2_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_2_title.jpg}}&lt;br /&gt;
File:LT_dots_1.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_dots_1.jpg}}&lt;br /&gt;
File:LT_dots_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_dots_2.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Cytoskeleton and adhesion'''&amp;lt;/br&amp;gt;A further red cell modification affects the red cell cytoskeleton. Like other features the nature of the changes differs between species. The purpose of the changes are not fully clear in each case, but it is clear that red cells containing parasites differ in adhesion properties when compared with uninfected cells, a change that is likely to alter their interaction with the immune system or allow them to sequester in particular compartments of the circulation. The changes to [[Altered red cell size and shape|red cell size and shape]] are described in separate sections, and also in the &amp;quot;Species recognition&amp;quot; pages. Two particularly characteristic features, the substantial enlargement and irregularity of ''P.vivax'' and the reduced red cell size that is typical of ''P.malariae'' are shown below.&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_3_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_3_title.jpg}}&lt;br /&gt;
File:LT_size_1.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_size_1.jpg}}&lt;br /&gt;
File:LT_size_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_size_2.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Biology_of_the_trophozoite_stage&amp;diff=6533</id>
		<title>Biology of the trophozoite stage</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Biology_of_the_trophozoite_stage&amp;diff=6533"/>
		<updated>2024-11-12T15:32:21Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{DISPLAYTITLE:&amp;lt;span style=&amp;quot;position: absolute; clip: rect(1px 1px 1px 1px); clip: rect(1px, 1px, 1px, 1px);&amp;quot;&amp;gt;{{FULLPAGENAME}}&amp;lt;/span&amp;gt;}}&lt;br /&gt;
----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;[[Malaria_Index|Main Malaria Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;[[Malaria_Biology|Malaria Biology Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;&amp;gt;Current page: '''Biology of the trophozoite'''&amp;lt;/span&amp;gt;&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:160%; color:navy&amp;quot;&amp;gt;The biology of the trophozoite stage&amp;lt;/br&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-style: solid; border-width: 4px; border-color:light gray&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:100%; color:black; background: white&amp;quot;|&amp;lt;span style=&amp;quot;color:navy&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''The starting point'''&amp;lt;/br&amp;gt;All malaria parasites appear as &amp;quot;ring forms&amp;quot; ofter they first enter the red cell and initially all species share the same features and are very difficult to distinguish. The appearance of a ring is shown below comprising a the dark chromatin dot (Chr) - this is occasionally a double dot; pale blue cytoplasm (Cyt) surrounding a central vacuole (Vac).&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;However, during this trophozoite stage the parasite progressively develops to allow it to eventually form a schizont or gametocyte. This require numerous changes - some of which differ between species, and are used to as features to distinguish them (see descriptions below).  &lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_2.jpg}}&lt;br /&gt;
File:ET_stage_1c.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_1c.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Feeding'''&amp;lt;/br&amp;gt;The development of the parasite requires energy and protein - the protein is acquired through the metabolism of haemoglobin. This is ongoing throughout all stages, but the effects first become apparent in the late trophozoite stage where two changes may be observed. First, the red cell changes colour compared to normal red cells as parasites metabolise the globin (protein) part of the haemoglobin molecule. As a result, red cells begin to lose haemoglobin pigment (for an appropriately stained slide this means they become paler grey). Second, the detoxification of the haem element of haemoglobin results in the formation of the parasite-produced &amp;quot;haemozoin&amp;quot; which can be seen as [[malaria pigment biology|malaria pigment]].&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;These changes may not be that obvious during the trophozoite stage, and the change to pallor or the appearance of the pigment may differ between species, but will generally be detected by the late trophzoite stage (shown below for a late trophozoite of ''P.malaria'').&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_1_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_1_title.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism-label.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism-label.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Communication, nutrition and immune evasion'''&amp;lt;/br&amp;gt;Parasites are not simply passive passengers within red cells. They require nutrition and to remove toxing. The parasites may also modify the red cell to avoid destruction by the immune system. To do this they modify the erythrocyte in a range of ways. Many of these changes are not seen by standard microscopy, but the formation of visible &amp;quot;dot-like&amp;quot; stuctures represent one such modification. [[Different types of cytoplasmic dots may (to a greater or lesser extent) seen in all species]] depending on staining characteristics. However, the best known are the Schüffner's or James' dots seen in ''P.vivax'' and ''P.ovale'', or the Maurer's dosts and clefts of ''P.falciparum''. The parasite images below show first the frequent pink/purple Schüffner's dots in ''P.vivax'' then Maurer's dots and clefts in ''P.falciparum''. &lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_2_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_2_title.jpg}}&lt;br /&gt;
File:LT_dots_1.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_dots_1.jpg}}&lt;br /&gt;
File:LT_dots_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_dots_2.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Cytoskeleton and adhesion'''&amp;lt;/br&amp;gt;A further red cell modification affects the red cell cytoskeleton. Like other features the nature of the changes differs between species. The purpose of the changes are not fully clear in each case, but it is clear that red cells containing parasites differ in adhesion properties when compared with uninfected cells, a change that is likely to alter their interaction with the immune system or allow them to sequester in particular compartments of the circulation. The changes to [[Altered red cell size and shape|red cell size and shape]] are described in separate sections, and also in the &amp;quot;Species recognition&amp;quot; pages. Two particularly characteristic features, the substantial enlargement and irregularity of ''P.vivax'' and the extended processes (fimbriation) that are typical of ''P.ovale'' are shown below.&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_3_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_3_title.jpg}}&lt;br /&gt;
File:LT_size_1.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_size_1.jpg}}&lt;br /&gt;
File:LT_size_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_size_2.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=File:LT_size_2.jpg&amp;diff=6532</id>
		<title>File:LT size 2.jpg</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=File:LT_size_2.jpg&amp;diff=6532"/>
		<updated>2024-11-12T15:30:24Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=File:LT_size_1.jpg&amp;diff=6531</id>
		<title>File:LT size 1.jpg</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=File:LT_size_1.jpg&amp;diff=6531"/>
		<updated>2024-11-12T15:29:55Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=File:ET_stage_3_title.jpg&amp;diff=6530</id>
		<title>File:ET stage 3 title.jpg</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=File:ET_stage_3_title.jpg&amp;diff=6530"/>
		<updated>2024-11-12T15:28:24Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Biology_of_the_trophozoite_stage&amp;diff=6529</id>
		<title>Biology of the trophozoite stage</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Biology_of_the_trophozoite_stage&amp;diff=6529"/>
		<updated>2024-11-12T14:44:21Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{DISPLAYTITLE:&amp;lt;span style=&amp;quot;position: absolute; clip: rect(1px 1px 1px 1px); clip: rect(1px, 1px, 1px, 1px);&amp;quot;&amp;gt;{{FULLPAGENAME}}&amp;lt;/span&amp;gt;}}&lt;br /&gt;
----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;[[Malaria_Index|Main Malaria Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;[[Malaria_Biology|Malaria Biology Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;&amp;gt;Current page: '''Biology of the trophozoite'''&amp;lt;/span&amp;gt;&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:160%; color:navy&amp;quot;&amp;gt;The biology of the trophozoite stage&amp;lt;/br&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-style: solid; border-width: 4px; border-color:light gray&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:100%; color:black; background: white&amp;quot;|&amp;lt;span style=&amp;quot;color:navy&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''The starting point'''&amp;lt;/br&amp;gt;All malaria parasites appear as &amp;quot;ring forms&amp;quot; ofter they first enter the red cell and initially all species share the same features and are very difficult to distinguish. The appearance of a ring is shown below comprising a the dark chromatin dot (Chr) - this is occasionally a double dot; pale blue cytoplasm (Cyt) surrounding a central vacuole (Vac).&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;However, during this trophozoite stage the parasite progressively develops to allow it to eventually form a schizont or gametocyte. This require numerous changes - some of which differ between species, and are used to as features to distinguish them (see descriptions below).  &lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_2.jpg}}&lt;br /&gt;
File:ET_stage_1c.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_1c.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Feeding'''&amp;lt;/br&amp;gt;The development of the parasite requires energy and protein - the protein is acquired through the metabolism of haemoglobin. This is ongoing throughout all stages, but the effects first become apparent in the late trophozoite stage where two changes may be observed. First, the red cell changes colour compared to normal red cells as parasites metabolise the globin (protein) part of the haemoglobin molecule. As a result, red cells begin to lose haemoglobin pigment (for an appropriately stained slide this means they become paler grey). Second, the detoxification of the haem element of haemoglobin results in the formation of the parasite-produced &amp;quot;haemozoin&amp;quot; which can be seen as [[malaria pigment biology|malaria pigment]].&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;These changes may not be that obvious during the trophozoite stage, and the change to pallor or the appearance of the pigment may differ between species, but will generally be detected by the late trophzoite stage (shown below for a late trophozoite of ''P.malaria'').&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_1_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_1_title.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism-label.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism-label.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Communication, nutrition and immune evasion'''&amp;lt;/br&amp;gt;Parasites are not simply passive passengers within red cells. They require nutrition and to remove toxing. The parasites may also modify the red cell to avoid destruction by the immune system. To do this they modify the erythrocyte in a range of ways. Many of these changes are not seen by standard microscopy, but the formation of visible &amp;quot;dot-like&amp;quot; stuctures represent one such modification. [[Different types of cytoplasmic dots may (to a greater or lesser extent) seen in all species]] depending on staining characteristics. However, the best known are the Schüffner's or James' dots seen in ''P.vivax'' and ''P.ovale'', or the Maurer's dosts and clefts of ''P.falciparum''. The parasite images below show first the frequent pink/purple Schüffner's dots in ''P.vivax'' then Maurer's dots and clefts in ''P.falciparum''. &lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_2_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_2_title.jpg}}&lt;br /&gt;
File:LT_dots_1.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_dots_1.jpg}}&lt;br /&gt;
File:LT_dots_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_dots_2.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Cytoskeleton and adhesion'''&amp;lt;/br&amp;gt;A further red cell modification affects the red cell cytoskeleton. Like other features the nature of the changes differs between species. The purpose of the changes are not fully clear in each case, but it is clear that red cells containing parasites differ in adhesion properties when compared with uninfected cells, a change that is likely to alter their interaction with the immune system or allow them to sequester in particular compartments of the circulation. The changes to [[Altered red cell size and shape|red cell size and shape]] are described in separate sections, and also in the &amp;quot;Species recognition&amp;quot; pages. Two particularly characteristic features, the substantial enlargement and irregularity of ''P.vivax'' and the extended processes (fimbriation) that are typical of ''P.ovale'' are shown below.&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_3_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_3_title.jpg}}&lt;br /&gt;
File:LT_cytoskeleton_1.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_cytoskeleton_1.jpg}}&lt;br /&gt;
File:LT_cytoskeleton_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_cytoskeleton_2.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Biology_of_the_trophozoite_stage&amp;diff=6528</id>
		<title>Biology of the trophozoite stage</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Biology_of_the_trophozoite_stage&amp;diff=6528"/>
		<updated>2024-11-12T14:41:14Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{DISPLAYTITLE:&amp;lt;span style=&amp;quot;position: absolute; clip: rect(1px 1px 1px 1px); clip: rect(1px, 1px, 1px, 1px);&amp;quot;&amp;gt;{{FULLPAGENAME}}&amp;lt;/span&amp;gt;}}&lt;br /&gt;
----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;[[Malaria_Index|Main Malaria Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;[[Malaria_Biology|Malaria Biology Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;&amp;gt;Current page: '''Biology of the trophozoite'''&amp;lt;/span&amp;gt;&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:160%; color:navy&amp;quot;&amp;gt;The biology of the trophozoite stage&amp;lt;/br&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-style: solid; border-width: 4px; border-color:light gray&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:100%; color:black; background: white&amp;quot;|&amp;lt;span style=&amp;quot;color:navy&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''The starting point'''&amp;lt;/br&amp;gt;All malaria parasites appear as &amp;quot;ring forms&amp;quot; ofter they first enter the red cell and initially all species share the same features and are very difficult to distinguish. The appearance of a ring is shown below comprising a the dark chromatin dot (Chr) - this is occasionally a double dot; pale blue cytoplasm (Cyt) surrounding a central vacuole (Vac).&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;However, during this trophozoite stage the parasite progressively develops to allow it to eventually form a schizont or gametocyte. This require numerous changes - some of which differ between species, and are used to as features to distinguish them (see descriptions below).  &lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_2.jpg}}&lt;br /&gt;
File:ET_stage_1c.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_1c.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Feeding'''&amp;lt;/br&amp;gt;The development of the parasite requires energy and protein - the protein is acquired through the metabolism of haemoglobin. This is ongoing throughout all stages, but the effects first become apparent in the late trophozoite stage where two changes may be observed. First, the red cell changes colour compared to normal red cells as parasites metabolise the globin (protein) part of the haemoglobin molecule. As a result, red cells begin to lose haemoglobin pigment (for an appropriately stained slide this means they become paler grey). Second, the detoxification of the haem element of haemoglobin results in the formation of the parasite-produced &amp;quot;haemozoin&amp;quot; which can be seen as [[malaria pigment biology|malaria pigment]].&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;These changes may not be that obvious during the trophozoite stage, and the change to pallor or the appearance of the pigment may differ between species, but will generally be detected by the late trophzoite stage (shown below for a late trophozoite of ''P.malaria'').&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_1_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_1_title.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism-label.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism-label.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Communication, nutrition and immune evasion'''&amp;lt;/br&amp;gt;Parasites are not simply passive passengers within red cells. They require nutrition and to remove toxing. The parasites may also modify the red cell to avoid destruction by the immune system. To do this they modify the erythrocyte in a range of ways. Many of these changes are not seen by standard microscopy, but the formation of visible &amp;quot;dot-like&amp;quot; stuctures represent one such modification. Best known are the Schüffner's or James' dots seen in ''P.viax'' and ''P.ovale'', or the Maurer's dosts and clefts of ''P.falciparum'', but less bvious dots are seen in other species. The parasite images below show first the frequent pink/purple Schüffner's dots in ''P.vivax'' then Maurer's dots and clefts in ''P.falciparum''. &lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_2_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_2_title.jpg}}&lt;br /&gt;
File:LT_dots_1.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_dots_1.jpg}}&lt;br /&gt;
File:LT_dots_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_dots_2.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Cytoskeleton and adhesion'''&amp;lt;/br&amp;gt;A further red cell modification affects the red cell cytoskeleton. Like other features the nature of the changes differs between species. The purpose of the changes are not fully clear in each case, but it is clear that red cells containing parasites differ in adhesion properties when compared with uninfected cells, a change that is likely to alter their interaction with the immune system or allow them to sequester in particular compartments of the circulation. The changes to [[Altered red cell size and shape|red cell size and shape]] are described in separate sections, and also in the &amp;quot;Species recognition&amp;quot; pages. Two particularly characteristic features, the substantial enlargement and irregularity of ''P.vivax'' and the extended processes (fimbriation) that are typical of ''P.ovale'' are shown below.&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_3_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_3_title.jpg}}&lt;br /&gt;
File:LT_cytoskeleton_1.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_cytoskeleton_1.jpg}}&lt;br /&gt;
File:LT_cytoskeleton_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_cytoskeleton_2.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Biology_of_the_trophozoite_stage&amp;diff=6527</id>
		<title>Biology of the trophozoite stage</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Biology_of_the_trophozoite_stage&amp;diff=6527"/>
		<updated>2024-11-12T14:39:39Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{DISPLAYTITLE:&amp;lt;span style=&amp;quot;position: absolute; clip: rect(1px 1px 1px 1px); clip: rect(1px, 1px, 1px, 1px);&amp;quot;&amp;gt;{{FULLPAGENAME}}&amp;lt;/span&amp;gt;}}&lt;br /&gt;
----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;[[Malaria_Index|Main Malaria Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;[[Malaria_Biology|Malaria Biology Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;&amp;gt;Current page: '''Biology of the trophozoite'''&amp;lt;/span&amp;gt;&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:160%; color:navy&amp;quot;&amp;gt;The biology of the trophozoite stage&amp;lt;/br&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-style: solid; border-width: 4px; border-color:light gray&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:100%; color:black; background: white&amp;quot;|&amp;lt;span style=&amp;quot;color:navy&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''The starting point'''&amp;lt;/br&amp;gt;All malaria parasites appear as &amp;quot;ring forms&amp;quot; ofter they first enter the red cell and initially all species share the same features and are very difficult to distinguish. The appearance of a ring is shown below comprising a the dark chromatin dot (Chr) - this is occasionally a double dot; pale blue cytoplasm (Cyt) surrounding a central vacuole (Vac).&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;However, during this trophozoite stage the parasite progressively develops to allow it to eventually form a schizont or gametocyte. This require numerous changes - some of which differ between species, and are used to as features to distinguish them (see descriptions below).  &lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_2.jpg}}&lt;br /&gt;
File:ET_stage_1c.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_1c.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Feeding'''&amp;lt;/br&amp;gt;The development of the parasite requires energy and protein - the protein is acquired through the metabolism of haemoglobin. This is ongoing throughout all stages, but the effects first become apparent in the late trophozoite stage where two changes may be observed. First, the red cell changes colour compared to normal red cells as parasites metabolise the globin (protein) part of the haemoglobin molecule. As a result, red cells begin to lose haemoglobin pigment (for an appropriately stained slide this means they become paler grey). Second, the detoxification of the haem element of haemoglobin results in the formation of the parasite-produced &amp;quot;haemozoin&amp;quot; which can be seen as [[malaria pigment biology|malaria pigment]].&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;These changes may not be that obvious during the trophozoite stage, and the change to pallor or the appearance of the pigment may differ between species, but will generally be detected by the late trophzoite stage (shown below for a late trophozoite of ''P.malaria'').&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_1_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_1_title.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism-label.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism-label.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Communication, nutrition and immune evasion'''&amp;lt;/br&amp;gt;Parasites are not simply passive passengers within red cells. They require nutrition and to remove toxing. The parasites may also modify the red cell to avoid destruction by the immune system. To do this they modify the erythrocyte in a range of ways. Many of these changes are not seen by standard microscopy, but the formation of visible &amp;quot;dot-like&amp;quot; stuctures represent one such modification. Best known are the Schüffner's or James' dots seen in ''P.viax'' and ''P.ovale'', or the Maurer's dosts and clefts of ''P.falciparum'', but less bvious dots are seen in other species. The parasite images below show first the frequent pink/purple Schüffner's dots in ''P.vivax'' then Maurer's dots and clefts in ''P.falciparum''. &lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_2_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_2_title.jpg}}&lt;br /&gt;
File:LT_dots_1.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_dots_1.jpg}}&lt;br /&gt;
File:LT_dots_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_dots_2.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Cytoskeleton and adhesion'''&amp;lt;/br&amp;gt;A further red cell modification affects the red cell cytoskeleton. Like other features the nature of the changes differs between species. The purpose of the changes are not fully clear in each case, but it is clear that red cells containing parasites differ in adhesion properties when compared with uninfected cells, a change that is likely to alter their interaction with the immune system or allow them to sequester in particular compartments of the circulation. The changes to [[Altered red cell size and shape|red cell size and shape]] are described in separate sections, and also in the &amp;quot;Species recognition&amp;quot; pages. However, two particularly characteristic features are shown below.&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_3_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_3_title.jpg}}&lt;br /&gt;
File:LT_cytoskeleton_1.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_cytoskeleton_1.jpg}}&lt;br /&gt;
File:LT_cytoskeleton_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_cytoskeleton_2.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Biology_of_the_trophozoite_stage&amp;diff=6526</id>
		<title>Biology of the trophozoite stage</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Biology_of_the_trophozoite_stage&amp;diff=6526"/>
		<updated>2024-11-12T14:38:00Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{DISPLAYTITLE:&amp;lt;span style=&amp;quot;position: absolute; clip: rect(1px 1px 1px 1px); clip: rect(1px, 1px, 1px, 1px);&amp;quot;&amp;gt;{{FULLPAGENAME}}&amp;lt;/span&amp;gt;}}&lt;br /&gt;
----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;[[Malaria_Index|Main Malaria Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;[[Malaria_Biology|Malaria Biology Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;&amp;gt;Current page: '''Biology of the trophozoite'''&amp;lt;/span&amp;gt;&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:160%; color:navy&amp;quot;&amp;gt;The biology of the trophozoite stage&amp;lt;/br&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-style: solid; border-width: 4px; border-color:light gray&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:100%; color:black; background: white&amp;quot;|&amp;lt;span style=&amp;quot;color:navy&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''The starting point'''&amp;lt;/br&amp;gt;All malaria parasites appear as &amp;quot;ring forms&amp;quot; ofter they first enter the red cell and initially all species share the same features and are very difficult to distinguish. The appearance of a ring is shown below comprising a the dark chromatin dot (Chr) - this is occasionally a double dot; pale blue cytoplasm (Cyt) surrounding a central vacuole (Vac).&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;However, during this trophozoite stage the parasite progressively develops to allow it to eventually form a schizont or gametocyte. This require numerous changes - some of which differ between species, and are used to as features to distinguish them (see descriptions below).  &lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_2.jpg}}&lt;br /&gt;
File:ET_stage_1c.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_1c.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Feeding'''&amp;lt;/br&amp;gt;The development of the parasite requires energy and protein - the protein is acquired through the metabolism of haemoglobin. This is ongoing throughout all stages, but the effects first become apparent in the late trophozoite stage where two changes may be observed. First, the red cell changes colour compared to normal red cells as parasites metabolise the globin (protein) part of the haemoglobin molecule. As a result, red cells begin to lose haemoglobin pigment (for an appropriately stained slide this means they become paler grey). Second, the detoxification of the haem element of haemoglobin results in the formation of the parasite-produced &amp;quot;haemozoin&amp;quot; which can be seen as [[malaria pigment biology|malaria pigment]].&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;These changes may not be that obvious during the trophozoite stage, and the change to pallor or the appearance of the pigment may differ between species, but will generally be detected by the late trophzoite stage (shown below for a late trophozoite of ''P.malaria'').&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_1_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_1_title.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism-label.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism-label.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Communication, nutrition and immune evasion'''&amp;lt;/br&amp;gt;Parasites are not simply passive passengers within red cells. They require nutrition and to remove toxing. The parasites may also modify the red cell to avoid destruction by the immune system. To do this they modify the erythrocyte in a range of ways. Many of these changes are not seen by standard microscopy, but the formation of visible &amp;quot;dot-like&amp;quot; stuctures represent one such modification. Best known are the Schüffner's or James' dots seen in ''P.viax'' and ''P.ovale'', or the Maurer's dosts and clefts of ''P.falciparum'', but less bvious dots are seen in other species. The parasite images below show first the frequent pink/purple Schüffner's dots in ''P.vivax'' then Maurer's dots and clefts in ''P.falciparum''. &lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_2_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_2_title.jpg}}&lt;br /&gt;
File:LT_dots_1.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_dots_1.jpg}}&lt;br /&gt;
File:LT_dots_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_dots_2.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Cytoskeleton and adhesion'''&amp;lt;/br&amp;gt;A further red cell modification affects the red cell cytoskeleton. Like other features the nature of the changes differs between species. The purpose of the changes are not fully clear in each case, but it is clear that red cells containing parasites differ in adhesion properties when compared with uninfected cells, a change that is likely to alter their interaction with the immune system or allow them to sequester in particular compartments of the circulation. The changes to [[Altered red cell size and shape|red cell size and shape]] are described in separate sections, and also in the &amp;quot;Species recognition&amp;quot; pages. However, two particularly characteristic features are shown below.&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_3_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_3_title.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism-label.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism-label.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Altered_red_cell_size_and_shape&amp;diff=6525</id>
		<title>Altered red cell size and shape</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Altered_red_cell_size_and_shape&amp;diff=6525"/>
		<updated>2024-11-12T14:35:58Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{DISPLAYTITLE:&amp;lt;span style=&amp;quot;position: absolute; clip: rect(1px 1px 1px 1px); clip: rect(1px, 1px, 1px, 1px);&amp;quot;&amp;gt;{{FULLPAGENAME}}&amp;lt;/span&amp;gt;}}&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;[[Malaria_Index|Main Malaria Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;[[Malaria_Biology|Malaria Biology Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;&amp;gt;[[Biology of the trophozoite stage|Biology of the trophozoite]]&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;&amp;gt;Current page: '''Malaria Pigment'''&amp;lt;/span&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;widthe:90%; border-style: solid; border-width: 4px; border-color:teal&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:140%; color:black; background: FFFAFA&amp;quot;|&amp;lt;span style=&amp;quot;color:black&amp;gt;'''Altered red cell size and shape'''&amp;lt;/span&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
During parasite develop, each species alters the red cell that they occupy. These changes differ between species causing characteristic changes to.red. cell size and red cell shape. These changes occur from a relatively early stage of parasite development although the very earliest trophozoites may yet show these features &lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
'''SMALL ROUND RED CELLS'''&lt;br /&gt;
&lt;br /&gt;
''P.malariae''&lt;br /&gt;
&lt;br /&gt;
The red cells in this species remain round and are often small in size &lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=&amp;quot;200px&amp;quot; heights=&amp;quot;220px&amp;quot; &amp;gt;&lt;br /&gt;
File:1SizePMET.jpg|A|link={{filepath:1SizePMET.jpg}}&lt;br /&gt;
File:2SizePMLT.jpg|B|link={{filepath:2SizePMLT.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The early (A) and late trophozoites (B) shown in this image each lie within round erythrocytes with reduced size.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
'''RED CELLS WITH UNCHANGED SIZE AND SHAPE'''&lt;br /&gt;
&lt;br /&gt;
''P.falciparum'' (and ''P.knowlesi'')&lt;br /&gt;
&lt;br /&gt;
Red cell size and shape is generally unchanged although they may become crenated &lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=&amp;quot;200px&amp;quot; heights=&amp;quot;220px&amp;quot; &amp;gt;&lt;br /&gt;
File:3SizePMET.jpg|A|link={{filepath:|3SizePMET.jpg}}&lt;br /&gt;
File:4SizePFLT.jpg|B|link={{filepath:4SizePFLT.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The early (A) trophozoites lie within red cells that do not change size or shape, at later development (B) they may remain unchanged or acquire subtle crenation. &lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
'''ENLARGED AND DISTORTED RED CELLS'''&lt;br /&gt;
&lt;br /&gt;
For both ''P.ovale'' and ''P.vivax'' the red cells become progressively enlarged and distorted as the parasites develop. It may not be possible to distingish the species based on red cell appearances, but there are differences which should be looked for.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
''P.ovale''&lt;br /&gt;
&lt;br /&gt;
Expect increased red cell size but this may not be marked; the typical shape is an ovoid shape (hence the name) and there may be characteristic finbriation of cytoplams (that may be limited to one pole of the cell).&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=&amp;quot;200px&amp;quot; heights=&amp;quot;220px&amp;quot; &amp;gt;&lt;br /&gt;
File:5SizePOET.jpg|A|link={{filepath:|5SizePOET.jpg}}&lt;br /&gt;
File:6SizePOLT.jpg|B|link={{filepath:4SizePOLT.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
&lt;br /&gt;
Early (A) and late (B) trophozoites o ''P.ovale''. In each case there is a tendency for red cells to have an ovoid shape and there is distortion of the cytoplasm with sharp projectiosn (fimbriation). These orregular and spiky projections differ from the rounded crenation that may be seen in ''P.falciparum''.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
''P.vivax''&lt;br /&gt;
&lt;br /&gt;
This species tend to have the largest red cell size that becomes evident at quite and early stage; the typical shape is quite irregular fimbriation is not (generally) seen.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=&amp;quot;200px&amp;quot; heights=&amp;quot;220px&amp;quot; &amp;gt;&lt;br /&gt;
File:7SizePVET.jpg|A|link={{filepath:|7SizePVET.jpg}}&lt;br /&gt;
File:8SizePVLT.jpg|B|link={{filepath:8SizePVLT.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
&lt;br /&gt;
Early and trophozoites of ''P.vivax''. The increased size and red cell distortion increase as the parasites mature. In this case the early trophozoite (A) is enlarged but still retains a relatively undistorted elongated shape (similar to ''P.ovale''); however the late form (B) is has a very irregular shape (note there is no fimbriation).&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Size_and_shape_of_infected_red_cells_description&amp;diff=6524</id>
		<title>Size and shape of infected red cells description</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Size_and_shape_of_infected_red_cells_description&amp;diff=6524"/>
		<updated>2024-11-12T14:35:27Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
[[Index of malaria forms|Go Back]]&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-style: solid; border-width: 4px; color:black&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:100%; color:black; background: FFFAFA&amp;quot;|&amp;lt;span style=&amp;quot;color:navy&amp;gt;'''How is red cell size and shape affected as malaria develops?'''&amp;lt;/span&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
During parasite develop, each species alters the red cell that they occupy. These changes differ between species causing characteristic changes to.red. cell size and red cell shape. These changes occur from a relatively early stage of parasite development although the very earliest trophozoites may yet show these features &lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
'''SMALL ROUND RED CELLS'''&lt;br /&gt;
&lt;br /&gt;
''P.malariae''&lt;br /&gt;
&lt;br /&gt;
The red cells in this species remain round and are often small in size &lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=&amp;quot;200px&amp;quot; heights=&amp;quot;220px&amp;quot; &amp;gt;&lt;br /&gt;
File:1SizePMET.jpg|A|link={{filepath:1SizePMET.jpg}}&lt;br /&gt;
File:2SizePMLT.jpg|B|link={{filepath:2SizePMLT.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The early (A) and late trophozoites (B) shown in this image each lie within round erythrocytes with reduced size.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
'''RED CELLS WITH UNCHANGED SIZE AND SHAPE'''&lt;br /&gt;
&lt;br /&gt;
''P.falciparum'' (and ''P.knowlesi'')&lt;br /&gt;
&lt;br /&gt;
Red cell size and shape is generally unchanged although they may become crenated &lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=&amp;quot;200px&amp;quot; heights=&amp;quot;220px&amp;quot; &amp;gt;&lt;br /&gt;
File:3SizePMET.jpg|A|link={{filepath:|3SizePMET.jpg}}&lt;br /&gt;
File:4SizePFLT.jpg|B|link={{filepath:4SizePFLT.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The early (A) trophozoites lie within red cells that do not change size or shape, at later development (B) they may remain unchanged or acquire subtle crenation. &lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
'''ENLARGED AND DISTORTED RED CELLS'''&lt;br /&gt;
&lt;br /&gt;
For both ''P.ovale'' and ''P.vivax'' the red cells become progressively enlarged and distorted as the parasites develop. It may not be possible to distingish the species based on red cell appearances, but there are differences which should be looked for.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
''P.ovale''&lt;br /&gt;
&lt;br /&gt;
Expect increased red cell size but this may not be marked; the typical shape is an ovoid shape (hence the name) and there may be characteristic finbriation of cytoplams (that may be limited to one pole of the cell).&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=&amp;quot;200px&amp;quot; heights=&amp;quot;220px&amp;quot; &amp;gt;&lt;br /&gt;
File:5SizePOET.jpg|A|link={{filepath:|5SizePOET.jpg}}&lt;br /&gt;
File:6SizePOLT.jpg|B|link={{filepath:4SizePOLT.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
&lt;br /&gt;
Early (A) and late (B) trophozoites o ''P.ovale''. In each case there is a tendency for red cells to have an ovoid shape and there is distortion of the cytoplasm with sharp projectiosn (fimbriation). These orregular and spiky projections differ from the rounded crenation that may be seen in ''P.falciparum''.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
''P.vivax''&lt;br /&gt;
&lt;br /&gt;
This species tend to have the largest red cell size that becomes evident at quite and early stage; the typical shape is quite irregular fimbriation is not (generally) seen.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=&amp;quot;200px&amp;quot; heights=&amp;quot;220px&amp;quot; &amp;gt;&lt;br /&gt;
File:7SizePVET.jpg|A|link={{filepath:|7SizePVET.jpg}}&lt;br /&gt;
File:8SizePVLT.jpg|B|link={{filepath:8SizePVLT.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
&lt;br /&gt;
Early and trophozoites of ''P.vivax''. The increased size and red cell distortion increase as the parasites mature. In this case the early trophozoite (A) is enlarged but still retains a relatively undistorted elongated shape (similar to ''P.ovale''); however the late form (B) is has a very irregular shape (note there is no fimbriation).&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Altered_red_cell_size_and_shape&amp;diff=6523</id>
		<title>Altered red cell size and shape</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Altered_red_cell_size_and_shape&amp;diff=6523"/>
		<updated>2024-11-12T14:34:30Z</updated>

		<summary type="html">&lt;p&gt;Admin: Created page with &amp;quot;{{DISPLAYTITLE:&amp;lt;span style=&amp;quot;position: absolute; clip: rect(1px 1px 1px 1px); clip: rect(1px, 1px, 1px, 1px);&amp;quot;&amp;gt;{{FULLPAGENAME}}&amp;lt;/span&amp;gt;}} '''Navigation'''&amp;lt;/br&amp;gt;  &amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;Main Malaria Index''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt; &amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;Malaria Biology Index''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt; &amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;&amp;gt;Biology of the trophozoite&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt; &amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;&amp;gt;Current page...&amp;quot;&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{DISPLAYTITLE:&amp;lt;span style=&amp;quot;position: absolute; clip: rect(1px 1px 1px 1px); clip: rect(1px, 1px, 1px, 1px);&amp;quot;&amp;gt;{{FULLPAGENAME}}&amp;lt;/span&amp;gt;}}&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;[[Malaria_Index|Main Malaria Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;[[Malaria_Biology|Malaria Biology Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;&amp;gt;[[Biology of the trophozoite stage|Biology of the trophozoite]]&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;&amp;gt;Current page: '''Malaria Pigment'''&amp;lt;/span&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;widthe:90%; border-style: solid; border-width: 4px; border-color:teal&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:140%; color:black; background: FFFAFA&amp;quot;|&amp;lt;span style=&amp;quot;color:black&amp;gt;'''Altered red cell size and shape'''&amp;lt;/span&amp;gt;&lt;br /&gt;
----&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Biology_of_the_trophozoite_stage&amp;diff=6522</id>
		<title>Biology of the trophozoite stage</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Biology_of_the_trophozoite_stage&amp;diff=6522"/>
		<updated>2024-11-12T14:33:25Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{DISPLAYTITLE:&amp;lt;span style=&amp;quot;position: absolute; clip: rect(1px 1px 1px 1px); clip: rect(1px, 1px, 1px, 1px);&amp;quot;&amp;gt;{{FULLPAGENAME}}&amp;lt;/span&amp;gt;}}&lt;br /&gt;
----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;[[Malaria_Index|Main Malaria Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;[[Malaria_Biology|Malaria Biology Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;&amp;gt;Current page: '''Biology of the trophozoite'''&amp;lt;/span&amp;gt;&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:160%; color:navy&amp;quot;&amp;gt;The biology of the trophozoite stage&amp;lt;/br&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-style: solid; border-width: 4px; border-color:light gray&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:100%; color:black; background: white&amp;quot;|&amp;lt;span style=&amp;quot;color:navy&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''The starting point'''&amp;lt;/br&amp;gt;All malaria parasites appear as &amp;quot;ring forms&amp;quot; ofter they first enter the red cell and initially all species share the same features and are very difficult to distinguish. The appearance of a ring is shown below comprising a the dark chromatin dot (Chr) - this is occasionally a double dot; pale blue cytoplasm (Cyt) surrounding a central vacuole (Vac).&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;However, during this trophozoite stage the parasite progressively develops to allow it to eventually form a schizont or gametocyte. This require numerous changes - some of which differ between species, and are used to as features to distinguish them (see descriptions below).  &lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_2.jpg}}&lt;br /&gt;
File:ET_stage_1c.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_1c.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Feeding'''&amp;lt;/br&amp;gt;The development of the parasite requires energy and protein - the protein is acquired through the metabolism of haemoglobin. This is ongoing throughout all stages, but the effects first become apparent in the late trophozoite stage where two changes may be observed. First, the red cell changes colour compared to normal red cells as parasites metabolise the globin (protein) part of the haemoglobin molecule. As a result, red cells begin to lose haemoglobin pigment (for an appropriately stained slide this means they become paler grey). Second, the detoxification of the haem element of haemoglobin results in the formation of the parasite-produced &amp;quot;haemozoin&amp;quot; which can be seen as [[malaria pigment biology|malaria pigment]].&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;These changes may not be that obvious during the trophozoite stage, and the change to pallor or the appearance of the pigment may differ between species, but will generally be detected by the late trophzoite stage (shown below for a late trophozoite of ''P.malaria'').&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_1_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_1_title.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism-label.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism-label.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Communication, nutrition and immune evasion'''&amp;lt;/br&amp;gt;Parasites are not simply passive passengers within red cells. They require nutrition and to remove toxing. The parasites may also modify the red cell to avoid destruction by the immune system. To do this they modify the erythrocyte in a range of ways. Many of these changes are not seen by standard microscopy, but the formation of visible &amp;quot;dot-like&amp;quot; stuctures represent one such modification. Best known are the Schüffner's or James' dots seen in ''P.viax'' and ''P.ovale'', or the Maurer's dosts and clefts of ''P.falciparum'', but less bvious dots are seen in other species. The parasite images below show first the frequent pink/purple Schüffner's dots in ''P.vivax'' then Maurer's dots and clefts in ''P.falciparum''. &lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_2_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_2_title.jpg}}&lt;br /&gt;
File:LT_dots_1.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_dots_1.jpg}}&lt;br /&gt;
File:LT_dots_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_dots_2.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Cytoskeleton and adhesion'''&amp;lt;/br&amp;gt;A further red cell modification affects the red cell cytoskeleton. Like other features the nature of the changes differs between species. The purpose of the changes are not fully clear in each case, but it is clear that red cells containing parasites differ in adhesion properties when compared with uninfected cells, a change that is likely to alter their interaction with the immune system or allow them to sequester in particular compartments of the circulation. The changes to [[Altered red cell size and shape|red cell size and shape]] are described in separate sections, and also in the &amp;quot;Species recognition&amp;quot; pages. However, two particularly characteristic features are shown below.&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Biology_of_the_trophozoite_stage&amp;diff=6521</id>
		<title>Biology of the trophozoite stage</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Biology_of_the_trophozoite_stage&amp;diff=6521"/>
		<updated>2024-11-12T14:30:32Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{DISPLAYTITLE:&amp;lt;span style=&amp;quot;position: absolute; clip: rect(1px 1px 1px 1px); clip: rect(1px, 1px, 1px, 1px);&amp;quot;&amp;gt;{{FULLPAGENAME}}&amp;lt;/span&amp;gt;}}&lt;br /&gt;
----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;[[Malaria_Index|Main Malaria Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;[[Malaria_Biology|Malaria Biology Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;&amp;gt;Current page: '''Biology of the trophozoite'''&amp;lt;/span&amp;gt;&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:160%; color:navy&amp;quot;&amp;gt;The biology of the trophozoite stage&amp;lt;/br&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-style: solid; border-width: 4px; border-color:light gray&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:100%; color:black; background: white&amp;quot;|&amp;lt;span style=&amp;quot;color:navy&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''The starting point'''&amp;lt;/br&amp;gt;All malaria parasites appear as &amp;quot;ring forms&amp;quot; ofter they first enter the red cell and initially all species share the same features and are very difficult to distinguish. The appearance of a ring is shown below comprising a the dark chromatin dot (Chr) - this is occasionally a double dot; pale blue cytoplasm (Cyt) surrounding a central vacuole (Vac).&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;However, during this trophozoite stage the parasite progressively develops to allow it to eventually form a schizont or gametocyte. This require numerous changes - some of which differ between species, and are used to as features to distinguish them (see descriptions below).  &lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_2.jpg}}&lt;br /&gt;
File:ET_stage_1c.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_1c.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Feeding'''&amp;lt;/br&amp;gt;The development of the parasite requires energy and protein - the protein is acquired through the metabolism of haemoglobin. This is ongoing throughout all stages, but the effects first become apparent in the late trophozoite stage where two changes may be observed. First, the red cell changes colour compared to normal red cells as parasites metabolise the globin (protein) part of the haemoglobin molecule. As a result, red cells begin to lose haemoglobin pigment (for an appropriately stained slide this means they become paler grey). Second, the detoxification of the haem element of haemoglobin results in the formation of the parasite-produced &amp;quot;haemozoin&amp;quot; which can be seen as [[malaria pigment biology|malaria pigment]].&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;These changes may not be that obvious during the trophozoite stage, and the change to pallor or the appearance of the pigment may differ between species, but will generally be detected by the late trophzoite stage (shown below for a late trophozoite of ''P.malaria'').&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_1_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_1_title.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism-label.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism-label.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Communication, nutrition and immune evasion'''&amp;lt;/br&amp;gt;Parasites are not simply passive passengers within red cells. They require nutrition and to remove toxing. The parasites may also modify the red cell to avoid destruction by the immune system. To do this they modify the erythrocyte in a range of ways. Many of these changes are not seen by standard microscopy, but the formation of visible &amp;quot;dot-like&amp;quot; stuctures represent one such modification. Best known are the Schüffner's or James' dots seen in ''P.viax'' and ''P.ovale'', or the Maurer's dosts and clefts of ''P.falciparum'', but less bvious dots are seen in other species. The parasite images below show first the frequent pink/purple Schüffner's dots in ''P.vivax'' then Maurer's dots and clefts in ''P.falciparum''. &lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_2_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_2_title.jpg}}&lt;br /&gt;
File:LT_dots_1.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_dots_1.jpg}}&lt;br /&gt;
File:LT_dots_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_dots_2.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Cytoskeleton and adhesion'''&amp;lt;/br&amp;gt;A further red cell modification affects the red cell cytoskeleton. Like other features the nature of the changes differs between species. The purpose of the changes are not fully clear in each case, but it is clear that red cells containing parasites differ in adhesion properties when compared with uninfected cells, a change that is likely to alter their interaction with the immune system or allow them to sequester in particular compartments of the circulation. The changes to red cell size and shape are described in separate sections, and also in the &amp;quot;Species recognition&amp;quot; pages. However, two particularly characteristic features are shown below.&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Biology_of_the_trophozoite_stage&amp;diff=6520</id>
		<title>Biology of the trophozoite stage</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Biology_of_the_trophozoite_stage&amp;diff=6520"/>
		<updated>2024-11-12T11:01:51Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{DISPLAYTITLE:&amp;lt;span style=&amp;quot;position: absolute; clip: rect(1px 1px 1px 1px); clip: rect(1px, 1px, 1px, 1px);&amp;quot;&amp;gt;{{FULLPAGENAME}}&amp;lt;/span&amp;gt;}}&lt;br /&gt;
----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;[[Malaria_Index|Main Malaria Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;[[Malaria_Biology|Malaria Biology Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;&amp;gt;Current page: '''Biology of the trophozoite'''&amp;lt;/span&amp;gt;&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:160%; color:navy&amp;quot;&amp;gt;The biology of the trophozoite stage&amp;lt;/br&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-style: solid; border-width: 4px; border-color:light gray&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:100%; color:black; background: white&amp;quot;|&amp;lt;span style=&amp;quot;color:navy&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''The starting point'''&amp;lt;/br&amp;gt;All malaria parasites appear as &amp;quot;ring forms&amp;quot; ofter they first enter the red cell and initially all species share the same features and are very difficult to distinguish. The appearance of a ring is shown below comprising a the dark chromatin dot (Chr) - this is occasionally a double dot; pale blue cytoplasm (Cyt) surrounding a central vacuole (Vac).&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;However, during this trophozoite stage the parasite progressively develops to allow it to eventually form a schizont or gametocyte. This require numerous changes - some of which differ between species, and are used to as features to distinguish them (see descriptions below).  &lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_2.jpg}}&lt;br /&gt;
File:ET_stage_1c.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_1c.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Feeding'''&amp;lt;/br&amp;gt;The development of the parasite requires energy and protein - the protein is acquired through the metabolism of haemoglobin. This is ongoing throughout all stages, but the effects first become apparent in the late trophozoite stage where two changes may be observed. First, the red cell changes colour compared to normal red cells as parasites metabolise the globin (protein) part of the haemoglobin molecule. As a result, red cells begin to lose haemoglobin pigment (for an appropriately stained slide this means they become paler grey). Second, the detoxification of the haem element of haemoglobin results in the formation of the parasite-produced &amp;quot;haemozoin&amp;quot; which can be seen as [[malaria pigment biology|malaria pigment]].&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;These changes may not be that obvious during the trophozoite stage, and the change to pallor or the appearance of the pigment may differ between species, but will generally be detected by the late trophzoite stage (shown below for a late trophozoite of ''P.malaria'').&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_1_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_1_title.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism-label.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism-label.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Communication, nutrition and immune evasion'''&amp;lt;/br&amp;gt;Parasites are not simply passive passengers within red cells. They require nutrition and to remove toxing. The parasites may also modify the red cell to avoid destruction by the immune system. To do this they modify the erythrocyte in a range of ways. Many of these changes are not seen by standard microscopy, but the formation of visible &amp;quot;dot-like&amp;quot; stuctures represent one such modification. Best known are the Schüffner's or James' dots seen in ''P.viax'' and ''P.ovale'', or the Maurer's dosts and clefts of ''P.falciparum'', but less bvious dots are seen in other species. The parasite images below show first the frequent pink/purple Schüffner's dots in ''P.vivax'' then Maurer's dots and clefts in ''P.falciparum''. &lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_2_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_2_title.jpg}}&lt;br /&gt;
File:LT_dots_1.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_dots_1.jpg}}&lt;br /&gt;
File:LT_dots_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_dots_2.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Cytoskeleton and adhesion'''&amp;lt;/br&amp;gt;&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Biology_of_the_trophozoite_stage&amp;diff=6519</id>
		<title>Biology of the trophozoite stage</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Biology_of_the_trophozoite_stage&amp;diff=6519"/>
		<updated>2024-11-12T11:00:42Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{DISPLAYTITLE:&amp;lt;span style=&amp;quot;position: absolute; clip: rect(1px 1px 1px 1px); clip: rect(1px, 1px, 1px, 1px);&amp;quot;&amp;gt;{{FULLPAGENAME}}&amp;lt;/span&amp;gt;}}&lt;br /&gt;
----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;[[Malaria_Index|Main Malaria Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;[[Malaria_Biology|Malaria Biology Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;&amp;gt;Current page: '''Biology of the trophozoite'''&amp;lt;/span&amp;gt;&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:160%; color:navy&amp;quot;&amp;gt;The biology of the trophozoite stage&amp;lt;/br&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-style: solid; border-width: 4px; border-color:light gray&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:100%; color:black; background: white&amp;quot;|&amp;lt;span style=&amp;quot;color:navy&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''The starting point'''&amp;lt;/br&amp;gt;All malaria parasites appear as &amp;quot;ring forms&amp;quot; ofter they first enter the red cell and initially all species share the same features and are very difficult to distinguish. The appearance of a ring is shown below comprising a the dark chromatin dot (Chr) - this is occasionally a double dot; pale blue cytoplasm (Cyt) surrounding a central vacuole (Vac).&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;However, during this trophozoite stage the parasite progressively develops to allow it to eventually form a schizont or gametocyte. This require numerous changes - some of which differ between species, and are used to as features to distinguish them (see descriptions below).  &lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_2.jpg}}&lt;br /&gt;
File:ET_stage_1c.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_1c.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Feeding'''&amp;lt;/br&amp;gt;The development of the parasite requires energy and protein - the protein is acquired through the metabolism of haemoglobin. This is ongoing throughout all stages, but the effects first become apparent in the late trophozoite stage where two changes may be observed. First, the red cell changes colour compared to normal red cells as parasites metabolise the globin (protein) part of the haemoglobin molecule. As a result, red cells begin to lose haemoglobin pigment (for an appropriately stained slide this means they become paler grey). Second, the detoxification of the haem element of haemoglobin results in the formation of the parasite-produced &amp;quot;haemozoin&amp;quot; which can be seen as [[malaria pigment biology|malaria pigment]].&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;These changes may not be that obvious during the trophozoite stage, and the change to pallor or the appearance of the pigment may differ between species, but will generally be detected by the late trophzoite stage (shown below for a late trophozoite of ''P.malaria'').&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_1_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_1_title.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism-label.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism-label.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Communication, nutrition and immune evasion'''&amp;lt;/br&amp;gt;Parasites are not simply passive passengers within red cells. They require nutrition and to remove toxing. The parasites may also modify the red cell to avoid destruction by the immune system. To do this they modify the erythrocyte in a range of ways. Many of these changes are not seen by standard microscopy, but the formation of visible &amp;quot;dot-like&amp;quot; stuctures represent one such modification. Best known are the Schüffner's or James' dots seen in ''P.viax'' and ''P.ovale'', or the Maurer's dosts and clefts of ''P.falciparum'', but less bvious dots are seen in other species. The parasite images below show first the frequent pink/purple Schüffner's dots in ''P.vivax'' then Maurer's dots and clefts in ''P.falciparum''. &lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_2_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_2_title.jpg}}&lt;br /&gt;
File:LT_dots_1.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_dots_1.jpg}}&lt;br /&gt;
File:LT_dots_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_dots_2.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://haematologyetc.co.uk/index.php?title=Biology_of_the_trophozoite_stage&amp;diff=6518</id>
		<title>Biology of the trophozoite stage</title>
		<link rel="alternate" type="text/html" href="https://haematologyetc.co.uk/index.php?title=Biology_of_the_trophozoite_stage&amp;diff=6518"/>
		<updated>2024-11-12T10:58:58Z</updated>

		<summary type="html">&lt;p&gt;Admin: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{DISPLAYTITLE:&amp;lt;span style=&amp;quot;position: absolute; clip: rect(1px 1px 1px 1px); clip: rect(1px, 1px, 1px, 1px);&amp;quot;&amp;gt;{{FULLPAGENAME}}&amp;lt;/span&amp;gt;}}&lt;br /&gt;
----&lt;br /&gt;
'''Navigation'''&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;[[Malaria_Index|Main Malaria Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;[[Malaria_Biology|Malaria Biology Index]]''&amp;lt;/span&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;gt;&amp;gt;&amp;gt;Current page: '''Biology of the trophozoite'''&amp;lt;/span&amp;gt;&lt;br /&gt;
&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:160%; color:navy&amp;quot;&amp;gt;The biology of the trophozoite stage&amp;lt;/br&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;border-style: solid; border-width: 4px; border-color:light gray&amp;quot;&lt;br /&gt;
|colspan=&amp;quot;1&amp;quot; style = &amp;quot;font-size:100%; color:black; background: white&amp;quot;|&amp;lt;span style=&amp;quot;color:navy&amp;gt;&amp;lt;/span&amp;gt;&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''The starting point'''&amp;lt;/br&amp;gt;All malaria parasites appear as &amp;quot;ring forms&amp;quot; ofter they first enter the red cell and initially all species share the same features and are very difficult to distinguish. The appearance of a ring is shown below comprising a the dark chromatin dot (Chr) - this is occasionally a double dot; pale blue cytoplasm (Cyt) surrounding a central vacuole (Vac).&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;However, during this trophozoite stage the parasite progressively develops to allow it to eventually form a schizont or gametocyte. This require numerous changes - some of which differ between species, and are used to as features to distinguish them (see descriptions below).  &lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_2.jpg}}&lt;br /&gt;
File:ET_stage_1c.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_1c.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Feeding'''&amp;lt;/br&amp;gt;The development of the parasite requires energy and protein - the protein is acquired through the metabolism of haemoglobin. This is ongoing throughout all stages, but the effects first become apparent in the late trophozoite stage where two changes may be observed. First, the red cell changes colour compared to normal red cells as parasites metabolise the globin (protein) part of the haemoglobin molecule. As a result, red cells begin to lose haemoglobin pigment (for an appropriately stained slide this means they become paler grey). Second, the detoxification of the haem element of haemoglobin results in the formation of the parasite-produced &amp;quot;haemozoin&amp;quot; which can be seen as [[malaria pigment biology|malaria pigment]].&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;These changes may not be that obvious during the trophozoite stage, and the change to pallor or the appearance of the pigment may differ between species, but will generally be detected by the late trophzoite stage (shown below for a late trophozoite of ''P.malaria'').&amp;lt;/br&amp;gt;&amp;lt;/br&amp;gt;&lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_1_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_1_title.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism.jpg}}&lt;br /&gt;
File:ET_Hb_metabolism-label.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_Hb_metabolism-label.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;br /&gt;
----&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:90%&amp;gt;'''Communicating and modifying'''&amp;lt;/br&amp;gt;Parasites are not simply passive passengers within red cells. They require nutrition and to remove toxing. The parasites may also modify the red cell to avoid destruction by the immune system. To do this they modify the erythrocyte in a range of ways. Many of these changes are not seen by standard microscopy, but the formation of visible &amp;quot;dot-like&amp;quot; stuctures represent one such modification. Best known are the Schüffner's or James' dots seen in ''P.viax'' and ''P.ovale'', or the Maurer's dosts and clefts of ''P.falciparum'', but less bvious dots are seen in other species. The parasite images below show first the frequent pink/purple Schüffner's dots in ''P.vivax'' then Maurer's dots and clefts in ''P.falciparum''. &lt;br /&gt;
&amp;lt;gallery mode=&amp;quot;nolines&amp;quot; widths=200px heights=200px&amp;gt;&lt;br /&gt;
File:ET_stage_2_title.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:ET_stage_2_title.jpg}}&lt;br /&gt;
File:LT_dots_1.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_dots_1.jpg}}&lt;br /&gt;
File:LT_dots_2.jpg|&amp;lt;span style=&amp;quot;font-size:90%&amp;quot;&amp;gt;&amp;lt;/span&amp;gt;|link={{filepath:LT_dots_2.jpg}}&lt;br /&gt;
&amp;lt;/gallery&amp;gt;&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
</feed>