General rule - Chloroquine sensitive if from Caribbean or Central America west of Panama Canal, this patient immigrated from Honduras so you can eliminate chloroquine resistance as an answer choice (in addition to the vivax/ovale info above).
Kind of tricky question. The hypnozoites are chloroquine resistant. But the species may not be.
P. Falciparum is resistant and looks like a banana, but you dont know if the malaria in the RBC is falciparum or not.
Found this great document with slides about the different pathogens: http://ncasmbranch.org/meetings/2019SprPpts/2019-03_Spring_Garcia.pdf
I think chloroquine resistance wont be specefic to vivax and ovale,thus making it the incorrect answer. Chloroquine resistance can apply to P. Falciparum and P. Malariae
Only vivax and ovale cause hypnozoite thus making that the more clear answer
Does anyone know how to rule out E? I've never learned about microorganisms specifically activating a cell's CAMs, but when I looked it up, I found this article (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC395703/). The article doesn't specifically mention plasmodium as using it, but several of the resources for the article does.
submitted by jejunumjedi(16), 2019-05-20T10:31:44Z
The blood smear depicts Schuffner stippling. Found the exact image on the web with explanation:
http://spot.pcc.edu/~jvolpe/b/bi234/lec/2_parasites/images/P._vivax.htm