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A 31-year-old woman, 33 weeks pregnant, presented with a fever (40°C) and chills 2 months after returning from a trip to Brazil. A mixed infection of Plasmodium malariae and P. falciparum was diagnosed and treated with quinine. She had a relapse one month after the diagnosis, and labor was induced because of fetal distress. A review of both sets of smears led to a revised diagnosis of P. vivax, confirmed by polymerase-chain-reaction testing. In the current smear, a ring form is seen within a red cell with basophilic stippling, or what are known as Schüffner's dots (arrow), and also several . . . [Full Text of this Article] |