Malaria symptoms are caused by

A.

toxins released into the blood as a result of the destruction of red blood cell

B.

the multiplication of the malaria sporozoites in the liver

C.

the invasion of the red blood cells by the trophozoites

D.

the development of merozoites into gametocytes

Correct answer is B

Once you're bitten by the female anopheles, the parasite enters the bloodstream and travels to the liver. The infection develops in the liver before re-entering the bloodstream and invading the red blood cells.