Dieback-affected papaya plants were characterized by a discoloration of the contents of laticifers, while the anatomy of sieve elements was healthy in appearance until the necrotic stages of the disorder were reached. Laticifer discoloration was not always associated with the presence of phytoplasma in affected tissue, as judged by polymerase chain reaction (PCR) using primers based on the 16S rRNA gene and 16S-23S intergenic spacer region. Phytoplasma DNA was detected in a range of plant tissues, including roots, but not in mature leaves which would act as photoassimilate sources. As plants recovered from a dieback period, the extent of the distribution of both laticifer discoloration and phytoplasma DNA decreased. Phytoplasma cells were not observed in transmission electron microscopy studies of mature sieve elements of dieback-affected leaf, stem, or fruit tissue from plants at various stages of symptom expression, although PCR tests indicated the presence of phytoplasma DNA. Membrane-bound structures, similar in shape and size to phytoplasma cells but interpreted as autophagic vesicles or latex vesicles in immature laticifers, were observed within vacuoles of cells in phloem tissue in leaves displaying tissue breakdown in the form of a water-soaked appearance to veins ("X-Y" patterning). In contrast, phytoplasmas were readily observed in papaya leaves displaying symptoms of yellow crinkle. We conclude that phytoplasma cells are present in very low titer in dieback-affected tissues and that, while the plant appears to limit proliferation of the dieback-associated pathogen, this defense strategy is ultimately unsuccessful because it is associated with a rapid decline of the papaya plant.