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Plasmodium falciparum: Morphology: Difference between revisions

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The earliest growth stage, and may be the only form seen in this species:
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:
    
    
*[[Ring forms]] that are fine and delicate
*[[Ring forms]] that are fine and delicate
*Frequently the red cells contain [[multiple parasites]]  
*Frequently the red cells contain [[multiple parasites]]  
*Parasites may have a distinctive [[Double chromatin dot|"double dot"]] or signet ring form
*Parasites may have a distinctive [[Double chromatin dot forms|"double dot"]] or signet ring form
*Parasites may appear on the [[Accolé form|accolé forms]] that appear flattened against the cell membrane
*Parasites may appear on the [[Accolé form|accolé forms]] that appear flattened against the cell membrane
*Affected red cells have normal size and haemoglobin content
*Affected red cells have normal size and haemoglobin content
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The later growth stage:
The later growth stage where parasites begin to modify the erythrocyte, causing characteristic changes with added dots and minr changes to red cell form:
   
   
*Parasites resemble early ring forms, but are thicker and may be slightly larger
*Parasites resemble early ring forms, but are thicker and may be slightly larger
*Additional blue/grey dots and clefts are seen in red cell cytoplasm when [[stained correctly]]  
*Additional blue/grey dots and clefts are seen in red cell cytoplasm when [[stained correctly]]  
*These dots have low number a characteristic "dot" or "line" form [[Maurer's dots and clefts]]
*These dots have low number a characteristic "dot" or "line" form [[Maurer's dots and clefts]]
*[[Red cell size and shape|Size and shape of infected red cells]] is usually unaffected, but may become crenated
*[[Red cell size and shape|Size and shape]] of infected red cells is usually unaffected, but may become crenated
*[[Double chromatin dot forms|double chromatin dot]], [[Accolé form| accolé forms]], and [[multiple parasites|multiple parasites/cell]] remain present
*The [[Double chromatin dot forms|double dot]], [[Accolé form| accolé]], and [[multiple parasites|multiple parasite]] forms remain present




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*'''Do not generally circulate in this species unless overwhelming infection'''
*'''Do not generally circulate in this species unless overwhelming infection'''
*Contain multiple [[Schizonts|asexually formed]] developing parasites (most frequently 8-16)
*The asexually formed developing "merozoites" cluster untidily
*[[Schizonts|Development is progressive]]: first there are multiple chromatin dots, later a distinct nucleus and cytoplasm appears
*[[Schizont Development|Schizonts]] develop progressively to form [[Merozoite number|8-16 merozoites]] when mature
*Loose [[Malaria pigment|pigment]] may be seen in clumps between the parasites
*In this species the loose [[Malaria pigment|malaria pigment]] may be seen in clumps between the parasites
*Red cell size is generally unaffected but [[haemoglobin will largely be absent]] (metabolised by the parasites)
*Red cell size is generally unaffected but red cells become pale as haemoglobin is metabolised by the parasites




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The sexual replication form (very distinctive).
The sexual replication form (very distinctive).


*Gametocytes are elongated but are restricted into typical shape by the red cell membrane  
*male and femaie [[Gametocyte develpment|gametocytes]] are elongated and have the appearance of rods  
*They parasites are rod shaped but the membrane may cause them to curve into a “[[Banana gametocyte|"banana" form]]”
*They parasites are rod shaped but the membrane may cause them to curve into a “[[Banana gametocyte|"banana" form]]”
*The residual membrane ([[empty of haemoglobin]]) is often seen as a "blister" to the side of the parasite
*The residual membrane (empty of haemoglobin) is often seen as a "blister" to the side of the parasite
*The single chromatin area is in the centre of the parasite, often has [[Malaria pigment|pigment]] overlying it
*The single chromatin area is in the centre of the parasite, often has [[Malaria pigment|pigment]] overlying it
*Gametocytes may not be be seen, or may be the only form present (particularly after treatment)
*Gametocytes may not be be seen, or may be the only form present (particularly after treatment)

Latest revision as of 11:56, 9 April 2024


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The early trophozoite




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:

  • Ring forms that are fine and delicate
  • Frequently the red cells contain multiple parasites
  • Parasites may have a distinctive "double dot" or signet ring form
  • Parasites may appear on the accolé forms that appear flattened against the cell membrane
  • Affected red cells have normal size and haemoglobin content





The late trophozoite




The later growth stage where parasites begin to modify the erythrocyte, causing characteristic changes with added dots and minr changes to red cell form:




The schizont



The asexual form:

  • Do not generally circulate in this species unless overwhelming infection
  • The asexually formed developing "merozoites" cluster untidily
  • Schizonts develop progressively to form 8-16 merozoites when mature
  • In this species the loose malaria pigment may be seen in clumps between the parasites
  • Red cell size is generally unaffected but red cells become pale as haemoglobin is metabolised by the parasites




The gametocyte

The gametocyte




The sexual replication form (very distinctive).

  • male and femaie gametocytes are elongated and have the appearance of rods
  • They parasites are rod shaped but the membrane may cause them to curve into a “"banana" form
  • The residual membrane (empty of haemoglobin) is often seen as a "blister" to the side of the parasite
  • The single chromatin area is in the centre of the parasite, often has pigment overlying it
  • Gametocytes may not be be seen, or may be the only form present (particularly after treatment)