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Talisuna Yosem
Nov 1, 2023

Malaria ?

Describe the pathophysiology of malaria
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Nov 1, 2023
Malaria is a life-threatening disease caused by the Plasmodium parasite. The pathophysiology of malaria involves several stages, including transmission, invasion, replication, and destruction of red blood cells.

1. Transmission: Malaria is primarily transmitted through the bite of infected female Anopheles mosquitoes. These mosquitoes carry the Plasmodium parasite in their salivary glands and inject it into the bloodstream when they bite a human.

2. Invasion: Once inside the human body, the Plasmodium parasite travels to the liver. It invades hepatocytes (liver cells) and undergoes a period of replication, known as the liver stage. During this stage, the parasite multiplies and forms thousands of merozoites.

3. Replication: After the liver stage, the merozoites are released into the bloodstream, where they invade red blood cells (RBCs). Inside the RBCs, the merozoites undergo further replication and develop into trophozoites, which feed on hemoglobin and grow in size.

4. Destruction of red blood cells: As the trophozoites mature, they eventually rupture the RBCs, releasing more merozoites into the bloodstream. This process leads to the characteristic cyclic fevers associated with malaria. The released merozoites then invade new RBCs, continuing the cycle of replication and destruction.

5. Immune response: The destruction of RBCs triggers an immune response, leading to the release of inflammatory mediators and the activation of immune cells. This immune response contributes to the symptoms of malaria, such as fever, chills, headache, and muscle aches.

In addition to the above stages, some Plasmodium parasites can also differentiate into sexual forms called gametocytes, which can be taken up by mosquitoes during a blood meal. These gametocytes undergo sexual reproduction in the mosquito's gut, leading to the formation of new sporozoites that can infect humans again when the mosquito bites.

Overall, the pathophysiology of malaria involves the invasion, replication, and destruction of red blood cells by the Plasmodium parasite, leading to the characteristic symptoms and complications associated with the disease.
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