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kpacker, with a recent history of trekking through Northern Thailand and high fever. A typical Plasmodium falciparum presentation. ● Numerous fine ring forms (大量環(huán)狀體 ) ● Double chromatin dots (雙核 ) ● Red cells are not enlarged(紅細(xì)胞大小正常) A thin film from a 22 year old male holidaying in Lombok (Indonesia) one month previously. Intermittent fevers since returning. A typical Plasmodium vivax presentation ● ring forms(環(huán)狀體) ● trophozoite(大滋養(yǎng)體) ● Enlarged red cells (紅細(xì)胞脹大) Recent travel in Africa. Pyrexia of unknown origin. A typical Plasmodium ovale(卵形瘧) presentation ● trophozoite(大滋養(yǎng)體) 大小、空泡與 PV大配子體相區(qū)別 ● Enlarged red cell (紅細(xì)胞脹大) Female patient, arrived from Brazil two weeks previously. Flu like symptoms since arrival. A typical Plasmodium malariae(三日瘧) presentation ● Broad band form of plasmodium ( 帶狀大滋養(yǎng)體 )● Red cells not enlarged(紅細(xì)胞不脹大) This is a thick film prepared from a 32 year old male recently returned from Vietnam. The only definitive diagnosis that can be made from this film is that Malaria is present. Thin films would have to be examined for species identification.( 蟲種需觀察薄血膜來定 ) ● Numerous ring form of Plasmodium can be seen (as indicated by the arrows). 大量環(huán)狀體(箭頭所指處) ● Note size of neutrophils (for parison).中性粒細(xì)胞(作對(duì)照) 讀片練習(xí) 2. Intermittent fever。 arrived from India 2 months ago. Trophozoite (大滋養(yǎng)體) 3. History of round the world safari including S. America, Asia and Africa. General malaise. Plasmodiumvivax (間日瘧 ) microgametocyte (小配子體 ) 4. Unspecified overseas travel. Presented with temperature Plasmodiumvivax (間日瘧 ) Schizont (裂殖體 ) 5. Male recently returned to Australia after backpacking through Asia. History of flu like symptoms. Ringform (環(huán)狀體 ) Trophozoite (大滋養(yǎng)體) 7. Aches and pains, with fever. ? Glandular Fever, ?malaria. Ringform (環(huán)狀體 ) Schizont (裂殖體 ) 14. 50 year old male patient presented with fever after holidaying in Viet Nam. um (惡性瘧 ) Ringform (環(huán)狀體 ) 21. A member of the UN forces in East Timor. Presented with high temperature. (惡性瘧 ) Ringform (環(huán)狀體 ) um (惡性瘧 ) macrogametocyte (大配子體 ) P. Malarae (三日瘧 ) Trophozoite (大滋養(yǎng)體) Schizont (裂殖體 ) Schizont (裂殖體 ) Schizont (裂殖體 ) Ringform (環(huán)狀體 ) Plasmodiumvivax (間日瘧 ) Trophozoite (大滋養(yǎng)體) Schizont (裂殖體 ) Trophozoite (大滋養(yǎng)體) Plasmodiumvivax (間日瘧 ) microgametocyte (小配子體 ) (惡性瘧 ) macrogametocyte (大配子體 ) (惡性瘧 ) microgametocyte (小配子體 ) (惡性瘧 ) macrogametocyte (大配子體 ) 本課結(jié)束, 敬請多提 寶貴意見, 謝謝大家!