Erythrocytic Schizogony Process

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Questions and Answers

What is the primary receptor on a red blood cell's surface that is targeted by merozoites?

  • Integrin
  • Cadherin
  • Selectin
  • Glycophorin (correct)

What structure is formed inside the red blood cell once a merozoite enters?

  • Parasitophorous vacuole (correct)
  • Mitochondrial matrix
  • Endoplasmic reticulum
  • Lysosome

Which form of the parasite is described as having a signet ring or annular appearance?

  • Schizont
  • Ring form (correct)
  • Merozoite
  • Trophozoite

What is the prepatent period?

<p>The time between entry of the parasite and its demonstration in peripheral blood. (C)</p> Signup and view all the answers

The ring form of the parasite typically occupies how much of the red blood cell, with the exception of P. falciparum?

<p>One-third (C)</p> Signup and view all the answers

Which Plasmodium species exhibits the shortest duration of pre-erythrocytic schizogony?

<p><em>Plasmodium falciparum</em> (A)</p> Signup and view all the answers

A patient is experiencing a relapse of malaria symptoms one year after apparent successful treatment. Which Plasmodium species is most likely the cause?

<p><em>Plasmodium vivax</em> (D)</p> Signup and view all the answers

The size of the pre-erythrocytic schizont is largest in which of the following Plasmodium species?

<p>Both <em>Plasmodium ovale</em> and <em>Plasmodium falciparum</em> (D)</p> Signup and view all the answers

Which statement best describes the current understanding of malarial relapse?

<p>Relapse is due to the reactivation of dormant hypnozoites in the liver from the primary infection. (B)</p> Signup and view all the answers

Which of the following is a key feature of recrudescence of a Plasmodium falciparum infection?

<p>Development of resistance to anti-malarial drugs. (B)</p> Signup and view all the answers

Flashcards

Erythrocytic schizogony

The process where merozoites invade RBCs and multiply through asexual reproduction.

Merozoite

A form of malaria parasite that binds to RBCs to enter them via endocytosis.

Trophozoite

The stage of the malaria parasite after the merozoite transforms, losing organelles.

Ring form

The early trophozoite shape in RBCs, resembling a ring or signet.

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Prepatent period

The time between parasite entry and its detection in blood.

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Pre-erythrocytic schizogony duration

The time taken for the pre-erythrocytic stage in different Plasmodium species, varying from 5.5 to 15 days.

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Merozoites per schizont

The number of merozoites produced from one pre-erythrocytic schizont, varying by species.

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Hypnozoites

Dormant forms of sporozoites in Plasmodium vivax and P. ovale, can reactivate causing malaria relapse.

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Relapse vs. recrudescence

Relapse is caused by hypnozoites reactivating; recrudescence is due to drug-resistant parasites persisting.

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Malarial relapse timing

In P. vivax and P. ovale, relapses may happen within 3 weeks to a year due to dormant spores.

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Study Notes

Erythrocytic Schizogony

  • Hepatic merozoites, released from pre-erythrocytic schizonts, invade red blood cells (RBCs).
  • Merozoites attach to glycophorin receptors on RBC surfaces, entering via endocytosis and residing within a parasitophorous vacuole.
  • This invasion process takes approximately 30 seconds.
  • Merozoites transform into trophozoites, losing their internal organelles and becoming rounded.
  • Early trophozoites are ring-shaped, appearing annular or as a signet ring.
  • These ring forms contain a central vacuole and a thin peripheral cytoplasm with a nucleus.
  • Ring forms usually occupy about one-third of the RBC, except in P. falciparum where they occupy only about one-sixth.
  • Ring forms are the first detectable asexual forms in the peripheral blood.
  • The period between the parasite's entry into a human and its detection in peripheral blood is the prepatent period.
  • The duration of pre-erythrocytic schizogony varies between different Plasmodium species, ranging from 5.5 days for P. falciparum to 15 days for P. malariae.

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