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Microbiology · Parasitology: malaria
Sample itemA returning traveller has fever every 48 hours, thrombocytopenia, and a blood film showing multiple delicate ring forms in single erythrocytes. Which species is most concerning?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Plasmodium falciparum
P. falciparum may show multiple fine rings per erythrocyte and can cause severe malaria through cytoadherence and microvascular obstruction. Its periodicity may be irregular early in infection.
Option by option
A. Plasmodium malariae
P. malariae classically gives band forms and 72-hour quartan fever.
B. Plasmodium falciparum (correct)
Correct. Multiple rings and severe-disease risk favour P. falciparum.
C. Plasmodium ovale
P. ovale also has hypnozoites and classically oval, fimbriated red cells.
D. Plasmodium vivax
P. vivax more often enlarges infected erythrocytes and has dormant liver hypnozoites.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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