Plasmodium vivax: Morphology: Difference between revisions
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<span style="font-size:110%; color:black">''' | <span style="font-size:110%; color:black">''' ''Plasmodium vivax'' '''</br></span><span style="font-size:90%"></span> | ||
<span style="font-size:90%; color:black">''P.vivax'' is considered a parasite of Central and South America, India and S.E.Asia. The low frequency of the Duffy antigen (that facilitates the entry of ''P.vivax'' into erythrocytes) means that this species has lower frequency in Africa. Aside from this however ''Plasmodium vivax'' infection occurs across the widest geographic area of all the human malarias, extending well into temperate climates. This behaviour is enabled by the dormant stage in the human liver, where the parasite can "rest", allowing it to survive mosquito-free cold seasons when transmission and propagation in the mosquito-host is not possible.</span> | |||
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Revision as of 09:24, 19 December 2024
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Plasmodium vivax
P.vivax is considered a parasite of Central and South America, India and S.E.Asia. The low frequency of the Duffy antigen (that facilitates the entry of P.vivax into erythrocytes) means that this species has lower frequency in Africa. Aside from this however Plasmodium vivax infection occurs across the widest geographic area of all the human malarias, extending well into temperate climates. This behaviour is enabled by the dormant stage in the human liver, where the parasite can "rest", allowing it to survive mosquito-free cold seasons when transmission and propagation in the mosquito-host is not possible.
The early trophozoite
The earliest ring forms may be indistinguishable from other species, but during this stage the parasite tends to aquire a more irregular forms and to show signs of modification of the erythrocyte (added dots, and altered size and shape).
- erythrocytes begin to show increased cell size
- parasites retain a ring form but may aquire a more irregular form
- parasites are generally large - occupying up to half of the erythrocyte
- cytoplasmic Schüffner's dots may appear at this stage, although pigment is less uncommon
The late trophozoite
The later growth stage during which parasites grow considerably and lose their ring appearance, this process is accompanied by substantial modification of the red cell and metabolism of it's haemoglobin to form malaria pigment.
- infected erythrocytes become significantly enlarged and irregular in shape
- parasites lose their ring appearance becoming irregular and "amoeboid" in form
- numerous red/purple Schüffner's dots are predent in the cytoplasm of red cells
- malaria pigment is often present and has an irregular distribution
The schizont
The asexual 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 "merozoites" that then each invade a new red cell to continue and increase the infection.
- a range of maturing schizonts will generally be present within enlarged red cells
- when mature schizonts may contain 16-24 separate merozoites
- Schüffner's dots pv can be detected in any residual cytoplasm of the erythrocyte
- malaria pigment pv is visible in irregularly distributed clumps over the schizont surface
The gametocyte
The sexual replication form (very distinctive).
- red cells are very large and have ovoid or distorted forms
- macrogametocytes (female form) will often entirely fill the erythrocyte
- microgametocytes (male form) have a cytoplasmic rim with visible Schüffner's dots
- malaria pigment is clumped evenly over the surface of the gametocyte