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Korean J Infect Dis. 1997 Nov;29(6):509-512. Korean. Case Report.
Lim CS , Ma KR , Kim YK , Lee KN , Kim KH , Kim DS , Makler MT .
Department of Clinical Pathology, College of Medicine, Korea University, Seoul, Korea.
Department of Internal Medicine, College of Medicine, Korea University, Seoul, Korea.
Department of Public Health and Preventive Medicine, College of Medicine, Hallym University, Seoul, Korea.
Department of Clinical Pathology, Oregon Health Science University, Oregon, USA.

We report a case of vivax malaria that showed ruptured form of merozoite only in the peripheral blood. A 28-year old man was admitted to Korea University hospital because of irregular high fever, chill and abdominal pain. The peripheral blood smear, showed only small merozoites which seemed to have been recently released from schizonts and destroyed remnants form of schizonts and did not show any forms of malaria parasite such as ring forms, mature trophozoites, schizonts, and gametocytes. On acridine orange fluorochrome stain, we could not find any suspected forms of malaria. However, we detected parasite LDH which is specific to Plasmodium vivax. Malaria treatment was done to the patient, and he is now under follow up in local hospital.

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