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Differentiation of Plasmodium Clinical Microbiology Review 262


P. FALCIPARUM P. MALARIAE P. OVALE P. VIVAX

Name of disease

Paroxysm cycle

Infected RBCs

Stages seen

Merozoites per
mature schizont

Tertian malaria

44–48 hr

Enlarged. Schüffner’s dots

All

12–24

Malignant malaria

36–48 hr

Not enlarged

Ring forms (trophs) &
gametocytes

Not seen in peripheral
blood

Quartan malaria

72 hr

Not enlarged

All

6–12

Ovale malaria

48 hr

Sometimes enlarged. Fre-
quently oval with ragged
margins. Schüffner’s dots

All

8–12

(From Leventhal R, Cheadle RF. Medical
Parasitology: A Self-Instructional Text,
5th ed. Philadelphia: FA Davis; 2002:119.)

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