Malaria - Causes, Pathogenesis, Signs and Symptoms, Diagnosis, Treatment and Prevention.
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malaria is a serious parasitic infection
caused by a few place' mode IAM species
which are unicellular protozoans and
transmitted by the Anopheles mosquito
once Plasmodium enters the bloodstream
it infects and destroys mainly
hepatocytes and red blood cells which
causes a variety of symptoms or even
death
commonly affected groups include young
children pregnant women
immunocompromised hosts like AIDS
patients and travelers malaria is a
global health problem predominant in
South America Africa South Asia and
Southeast Asia although many plus mo
diem species have been identified only
five of them cause diseases in human
they are plus mo diem falciparum
plasmodium vivax plasmodium ovale plus
mo diem malaria and Plasmodium Milesi
and + mo diem Milesi does not have a
mosquito vector it is transmitted by
infected monkeys
malaria starts when a plac'd female
Anopheles mosquito hunts for a blood
meal in the evening and through the
night mosquitoes are attracted to
exhaled carbon dioxide and foot odor at
this time plus mo diem is in its
developing stage called sporozoite
reside within the mosquitoes salivary
gland when the mosquito draws blood from
a normal person
the sporozoites can be spilled into the
blood within minutes sporozoites reach
the liver and enter into the hepatic
parenchymal cells where they undergo a
sexual reproduction also known as
skazzica nee over the next one to two
weeks sporozoites mature into Mara sites
while hosts hepatic parenchymal cells
die
however sometimes Plasmodium vivax and
bliss motya mauville sporozoite become
hypnosis and stay dormant over months to
years these Hypnose whites can cause
latent infection causing a long delay
between the initial infection and
symptoms from the disease this phase of
plasma diem in the liver is called EXO
Erath acidic phase and it is generally
asymptomatic mara Zoids formed inside
the liver cells are released into the
blood and the blood marrow Zoids binds
surface receptors on the red blood cells
and invade them + mo diem falciparum and
Plasmodium availle infect all ages of
red blood cells plus mo diem vivax
preffer ridiculous sites and place' mode
ium malaria and plus mo diem Milesi
invade older red blood cells
once inside the red blood cell Mara
Zoids undergo a sexual reproduction this
phase is known as erythro siddik phase
generally lasts two to three days in the
first stage of the urethral siddik phase
the Marisol looks like a tiny ring
within the earth recite known as the
early trophozoite or ring form in the
second stage the ring form trophozoite
grows and it is known as the late
trophozoite in the third and final stage
the parasite grows more by digesting
hemoglobin and becomes asked isn't this
is the actual replicative stage in which
the parasite undergo mitosis and gives
rise to a lot of Mehra's whites which
can get released into the blood
instead of getting into the urethra
siddik phase again some of the Mara
Zoids undergo sexual reproduction also
known as gamete agony where they divide
and give rise to commit a sites these
Gamila sites will remain inside the red
blood cell
when another Anopheles mosquito takes a
blood meal from this infected person the
gum it asite scan reach the mosquito gut
and give rise to gametes this phase of
plutonium life cycle is called spur
agony gamuts fused together to form a
zygote
the zygote becomes an oak and eat and
then anew cyst which ruptures inside the
mosquito gut and give rise to thousands
of sporozoites the sporozoites then
reached the mosquitos salivary gland
the clinical presentation of malaria may
vary depending on the plutonium species
major symptom is fever with chills and
rigors others include splenomegaly an
anemia especially in falciparum malaria
fever corresponds to the rupture of red
blood cells for place' mo diem malaria
fever occurs in every 72 hours for plis
mo diem vivax plasmodium ovale and
Plasmodium falciparum fever occurs every
48 hours and for Plasmodium Milesi fever
occurs every 24 hours
most plus mu DM species cause mild
symptoms known as uncomplicated malaria
out of all plus mu DM falciparum causes
more severe disease and in most severe
cases patient can get cerebral malaria
acute respiratory distress syndrome
acute renal failure and severe anemia
this is known as complicated malaria
there are two main diagnostic methods
microscopy and antigen detection
microscopy is the gold standard method
in diagnosing malaria in this method
three samples of thin and thick blood
smears are looked under the microscope
by the thick film we can identify the
parasite sitting in the red blood cell
and by the thin film we can directly
identify the species this identification
is based on specific morphological
patterns of Plasmodium trapezoids for
example plus mo diem falciparum heavier
phone shaped rings n plus mo diem vivax
and plus mo diem avail infected red
blood cells resemble an oval shape n
plus mu diem malaria there is a large
chromatin dot in the center of the ring
microscopy cannot do in the field and
need experienced workers to get the
results
then antigen detection we look for
parasite derived products such as
parasitic lactate dehydrogenase dipstick
methods are used in antigen detection
and it can be done in the field however
it has a very low sensitivity compared
to microscopy treatment depends on the
stage of the infection prophylactic
treatment for non infected people to
prevent getting infected anti malarial
drugs are used to kill Mara sites and go
Metis i'ts type of the drug depends on
the severity of the disease plus mo diem
species age and anti malarial resistance
status of the parasite radical treatment
includes killing have no Zoids
there are three main preventive methods
prevention of man vector contact by
sleeping under insecticide bed nets full
body clothing and using mosquito
repellents reduce vector density by
destroying breeding sites and using
insecticide sprays and finally we can
reduce parasite population by early
detection and treatment
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