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Short Answer II · Q2

Q.What are the symptoms of malaria? How does malaria spread?

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✓ Free question

Malaria's symptoms include cyclic high fever with chills/sweating (every 2-3 days), headache, vomiting and anaemia; it spreads via the bite of an infected female Anopheles mosquito that injects Plasmodium sporozoites.

Step 1. Symptoms of malaria begin 7-15 days after an infective mosquito bite. Early on, fever, headache and chills appear and can be hard to identify as malaria.

Step 2. The classical symptom is a cyclic pattern of high fever followed by sweating and sudden shivering, an episode lasting 4-6 hours and recurring every two-three days, as successive batches of red blood cells rupture. Additional symptoms include vomiting, convulsions, joint pain (arthralgia), anaemia (from RBC rupture), haemoglobinuria, hepatomegaly, retinal damage and, in severe P. falciparum cases, cerebral malaria.

Step 3. Malaria spreads through the bite of an infected female Anopheles mosquito, which injects Plasmodium sporozoites into the human bloodstream.

Step 4. The sporozoites multiply asexually (schizogony) first in liver cells and then in red blood cells, releasing merozoites and, eventually, gametocytes; if a mosquito takes up these gametocytes during a later blood meal, sexual reproduction (sporogony) in its gut produces fresh sporozoites, completing the cycle and enabling transmission to the next human host.

✓Final answer

Symptoms: cyclic fever with chills/sweating, headache, vomiting, joint pain, anaemia. Spread: via the female Anopheles mosquito's bite, injecting Plasmodium sporozoites

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