Plasmodium sp. Flashcards

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1
Q

What are the strains of Plasmodium which affect humans?

A
  • Plasmodium falciparum
  • Plasmodium vivax
  • Plasmodium malariae
  • Plasmodium ovale
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2
Q

What is the first step in the plasmodium life cycle?

A

Sporozoites from salivary gland of female anopheles mosquito are inoculated during a blood meal into blood stream.

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3
Q

What happens once Sporozoites from Anopheles enter the blood stream?

A

Rapidly invade hepatic parenchymal cells

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4
Q

What happens to sporozoites once they invade liver parenchymal cells?

A

2 alternative pathways of differentiation are possible:

1) Sporozoites mature into shizont, which contains many merozoites
- or-
2) Goes into a dormant phase (Ovale and vivax only) which is then called a hypnozoite

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5
Q

What happens once merozoites formed in the liver cells are released into the bloodstream in Plasmodium spp?

A

-They attach to and invade circulating erythrocytes

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6
Q

Over what time frames do the various species of Plasmodium take to develop once inside the RBC?

A
  • 48 hrs: P. falciparum, P. vivax, P. ovale

- 72 hrs: P. malariae

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7
Q

Regarding the Plasmodium lifecylce, describe the general morphological changes that occur within an RBC.

A
  • Changes from ‘ring form’ to trophozoite and finally to shizonts containing daughter erythrozoite merozoites.
  • Liberated by red cell lysis and immediately invade uninfected RBC’s. producing repetitive cycle.
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8
Q

In regards to the Plasmodium lifecycle, how is the P. vivax and P. ovale erythrocytic cycles different from the other plasmodium species?

A

Both of their erythrocytic cycles are synchronous and erythrozoite lysis and merozoite release occurs at the same time of day for the duration of the infection.

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9
Q

In regards to the developmental cycle of plasmodium spp, besides continuing the cycle by attacking other RBC’s, Merozoites released from the Erythrocytic shizont may also what?

A

-Undergo a different developmental pathway and develop into male and female gametocytes. (development and morphology changes between species)

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10
Q

Regarding the life cycle of Plasmodium, what is taken up by a new feeding mosquito to continue the cycle?

A

Gametocytes

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11
Q

Regarding the plasmodium life cycle, what happens after a mosquito takes in gametocyte?

A
  • Mosquito midgut -> male & female gametocytes liberated and fused to form zygote
    (male gametocyte = microgamete; female gametocyte = macrogamete)
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12
Q

Regarding the plasmodium life cycle, what happens to the zygote inside the mosquito’s midgut?

A

-Develops into an ookinete which is able to penetrate the gut wall and form an oocyst.

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13
Q

Regarding the plasmodium life cycle, what happens after the oocyst is formed?

A

-Asexual multiplication occurs and sporozoites are formed which migrate to the salivary gland and complete the life cycle.

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14
Q

How many days does it take for sexual reproduction to occur while in the gut of the vector for Plasmodium falciparum?

A

5 days (faster in heat)

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15
Q

How long does the exoerythrotic shizont cycle last in the liver for Plasmodium falciparum?

A

8 days

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16
Q

The exo-erythrocytic cycle for Plasmodium spp. occurs at which site?

A

Liver

17
Q

The Erythrocytic cycle for plasmodium spp. occurs at which site?

A

Bloodstream

18
Q

What is the geography of Plasmodium falciparum?

A
  • Sub-Saharan Africa
  • New Guinea
  • Haiti
  • South America
  • Asia
19
Q

Can Plasmodium Falciparum be transmitted vertically?

A

Yes

20
Q

What is the PPP for P. Falciparum?

A

8-11 days

21
Q

What are the 3 clinical stages for P. Falciparum initial infection?

A

1) Cold stage
2) Hot stage
3) Sweating stage

22
Q

Describe the cold stage of P. falciparum infection. How long does it last?

A
  • Skin dry, pale and cold, and pulse is rapid and low-volume.
  • Lasts: 15-60 min
23
Q

Describe the hot stage of P. falciparum infection. How long does it last?

A
  • Temperature reach 104-106F, pulse is rapid and full.

- Lasts: 2-6 hours

24
Q

Describe the Sweating stage of P. Falciparum infection. How long does it last?

A
  • Temperature falls

- Lasts: 2-4 hrs.