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Plasmodium falciparum: Morphology: Difference between revisions

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'''Navigation'''</br>
'''Navigation'''</br>
 
<span style="font-size:80%">(click blue highlighted text to return to page)</span></br></br>
<span style="font-size:90%">[[Malaria Index|Malaria main index]]</span></br>
<span style="font-size:90%">[[Malaria Index|Malaria main index]]</span></br>
<span style="font-size:90%">>[[Species identification: summary page]]</span></br>
<span style="font-size:90%">>[[Species identification: summary page]]</span></br>
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{| class="wikitable" style="border-style: solid; border-width: 5px; color:black"
{| class="wikitable" style="border-style: solid; border-width: 5px; border-color: #023020; color:black"
|colspan="1" style = "font-size:100%; color:black; background: #ffffcc"|'''Geographical distribution'''
|colspan="1" style = "font-size:100%; color:black; background: CBD5CO |'''The early trophozoite'''
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|}


''P.falciparum'' infection occurs in tropical and subtropical areas of central and South America, Africa, and S.E.Asia; this resembles the distribution of ''P.malariae'' and overlaps but is distinct from the distribution of ''P.vivax'' and ''P.ovale''.
Detailed geographical information may be accessed here: [https://www.cdc.gov/malaria/travelers/country_table/a.html].
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{| class="wikitable" style="border-style: solid; border-width: 5px; color:black"
|colspan="1" style = "font-size:100%; color:black; background: #ffffcc"|'''The early trophozoite'''
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<gallery mode="nolines" widths=200px heights=200px>
<gallery mode="nolines" widths=200px heights=200px>
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The earliest developing stage, and often the only form present 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 forms|double chromatin dot]] (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|edge of the red cell]] and have a flattened appearance (accolé forms)
*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




<div style="width: 350px">
<div style="width: 350px">
{| class="wikitable" style="border-left:solid 4px navy;border-right:solid 4px nvy;border-top:solid 4px navy;border-bottom:solid 4px navy; font-size:90%; color:navy; align:center"
{| class="wikitable" style="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"
| colspan="1"''|[[P.falciparum early trophozoites gallery|Click for ''P.falciparum'' early trophozoite gallery]]''
| colspan="1"''|[[P.falciparum early trophozoites gallery|Click for ''P.falciparum'' early trophozoite gallery]]''
|}
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'''The late trophozoite'''
 
<br clear=all>
{| class="wikitable" style="border-style: solid; border-width: 5px; border-color: #023020; color:black"
[[File:PFLT.jpg|rleft|220px|link={{filepath:PFLT.jpg}}]]
|colspan="1" style = "font-size:100%; color:black; background: CBD5CO |'''The late trophozoite'''
|}
 
 
<gallery mode="nolines" widths=200px heights=200px>
File:PFLTc.jpg|link={{filepath:PFLTc.jpg}}
File:PFLT-main image.jpg|link={{filepath:PFLT-main_image.jpg}}
</gallery>
<br clear=all>
<br clear=all>


   
   


The later developing 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 slightly larger
*Parasites resemble early ring forms, but are thicker and may be slightly larger
*Additional dots and clefts in cytoplasm when [[stained correctly]] (blue and relatively low in number).
*Additional blue/grey dots and clefts are seen in red cell cytoplasm when [[stained correctly]]  
*These have a characteristic appearance and are called [[Maurer's dots and clefts]]
*These dots have low number a characteristic "dot" or "line" form [[Maurer's dots and clefts]]
*[[Red cell size|Size and shape of infected red cells]] usually unaffected, but may become [[Red cell crenation|crenated]]
*[[Red cell size and shape|Size and shape]] of infected red cells is usually unaffected, but may become crenated
*Look for [[Double chromatin dot forms|double chromatin dot]], [[Accolé form| Accolé forms]], [[multiple parasites|multiple parasites/cell]]
*The [[Double chromatin dot forms|double dot]], [[Accolé form| accolé]], and [[multiple parasites|multiple parasite]] forms remain present




<div style="width: 350px">
{| class="wikitable" style="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"
| colspan="1"''|[[P.falciparum late trophozoites gallery|Click for ''P.falciparum'' late trophozoite gallery]]''
|}
</div>




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'''The schizont'''
{| class="wikitable" style="border-style: solid; border-width: 5px; border-color: #023020; color:black"
[[File:PFS.jpg|left|220px|link={{filepath:PFS.jpg}}]]
|colspan="1" style = "font-size:100%; color:black; background: CBD5CO |'''The schizont'''
<br clear=all>
|}




<gallery mode="nolines" widths=200px heights=200px>
File:PFSc.jpg|link={{filepath:PFSc.jpg}}
File:PFS-main image 2.jpg|link={{filepath:PFS-main_image 2.jpg}}
</gallery>
<br clear=all>


The asexual replication stage:
The asexual form:


*'''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


<div style="width: 350px">
{| class="wikitable" style="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"
| colspan="1"''|[[P.falciparum schizont gallery|Click for ''P.falciparum'' schizont gallery]]''
|}
</div>




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'''The gametocyte'''
'''The gametocyte'''


[[File:PFG1.jpg|left|220px|link={{filepath:PFG1.jpg}}]]
{| class="wikitable" style="border-style: solid; border-width: 5px; border-color: #023020; color:black"
<br clear=all>
|colspan="1" style = "font-size:100%; color:black; background: CBD5CO |'''The gametocyte'''
|}




<gallery mode="nolines" widths=200px heights=200px>
File:PFGc.jpg|link={{filepath:PFGc.jpg}}
File:PFG-main image.jpg|link={{filepath:PFG-main_image.jpg}}
</gallery>
<br clear=all>


The sexual replication stage (very distinctive).


*Gametocytes are elongated but are also restricted by the red cell membrane
*They appear as [[Macrogametocytes & Microgametocytes|straight rods]] but frequently curve into a “[[Banana gametocyte|banana form]]”
*The residual membrane (empty of haemoglobin) may appear as a "blister" to the side of the parasite
*The single chromatin area is in the centre of the parasite, often [[Malaria pigment|pigment]] overlies or surrounds it
*Gametocytes may not be seen in many cases.


The sexual replication form (very distinctive).


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*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]]”
*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
*Gametocytes may not be be seen, or may be the only form present (particularly after treatment)


'''Gallery'''


[[PLASMODIUM FALCIPARUM Gallery|Click here to see gallery of ''Plasmodium falciparum'' forms]]
<div style="width: 350px">
{| class="wikitable" style="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"
| colspan="1"''|[[P.falciparum gametocyte gallery|Click for ''P.falciparum'' gametocyte gallery]]''
|}
</div>




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Revision as of 11:56, 9 April 2024


Navigation
(click blue highlighted text to return to page)

Malaria main index
>Species identification: summary page
>>This page: P.falciparum: morphology


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)