The role of hematological parameters in differentiating Plasmodium falciparum and others – a study from Somalia

Authors

  • Serdar Özdemir Department of Emergency Medicine, University of Health Sciences Ümraniye Training and Research Hospital, Istanbul, Turkey https://orcid.org/0000-0002-6186-6110
  • Abdullah Algın Department of Emergency Medicine, University of Health Sciences Ümraniye Training and Research Hospital, Istanbul, Turkey; Mogadishu Somalia Turkish Training and Research Hospital, Mogadishu, Somalia https://orcid.org/0000-0002-9016-9701
  • İbrahim Altunok Department of Emergency Medicine, University of Health Sciences Ümraniye Training and Research Hospital, Istanbul, Turkey https://orcid.org/0000-0002-9312-1025
  • Ebubekir Arslan Mogadishu Somalia Turkish Training and Research Hospital, Mogadishu, Somalia; Department of Emergency Medicine, Eskisehir City Hospital, Eskisehir, Turkey https://orcid.org/0000-0002-7614-6749

DOI:

https://doi.org/10.15584/ejcem.2022.4.8

Keywords:

malaria, Plasmodium falciparum, Plasmodium vivax, platelets

Abstract

Introduction and aim. Accurate identification of Plasmodium species is important because of the differences in their treatment. We aimed to investigate the role of hematological and biochemical parameters in the differentiation of Plasmodium falciparum and other plasmodium species.

Material and methods. This is a retrospective study. Patients admitted to the emergency department with signs and symptoms of malaria were included into the study. Patients with malaria were grouped as P. falciparum and others. Hematological parameters of two groups were compared by univariate and multivariate analysis. Statistical analysis was performed using the Jamovi.

Results. A total of 107 patients were included in the study. According to univariant and multivariant analysis there was no difference in between two groups in the terms of blood urea nitrogen, aspartate aminotransferase, total bilirubin, hemoglobin, hematocrit, white blood cell count, platelet count, and mean platelet volume (in univariate analysis p values were 0.029, 0.011, 0.019, 0.171, 0.870, 0.307, 0.042, and 0.276, respectively and in multivariate analysis p values for blood urea nitrogen, aspartate aminotransferase, total bilirubin, hemoglobin, and platelet count were 0.100, 0.535, 0.328, and 0.213, respectively).

Conclusion. The investigated hematological and biochemical parameters were found to be not valuable in predicting type of malaria. On the other hand, we recommend confirming the results of our study with larger samples and multicenter studies.

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References

Tabassum A, Iqbal MS, Alghoraiby RA, et al. Hematological profile in smear positive malaria cases: A cross sectional study. Annals of RSCB. 2021;21(4):2297-2309.

Worrall E, Rietveld A, Delacollette C. The burden of malaria epidemics and cost-effectiveness of interventions in epidemic situations in Africa. Am J Trop Med Hyg. 2004;71(2):136-140.

Mathison BA, Pritt BS. Update on Malaria Diagnostics and Test Utilization. J Clin Microbiol. 2017;55(7):2009-2017. doi: 10.1128/JCM.02562-16

Agbana HB, Rogier E, Lo A, et al. Detecting asymptomatic carriage of Plasmodium falciparum in southern Ghana: utility of molecular and serological diagnostic tools. Malar J. 2022;21(1):57. doi: 10.1186/s12936-022-04078-w

Phyo AP, Dahal P, Mayxay M, Ashley EA. Clinical impact of vivax malaria: A collection review. PLoS Med. 2022;19(1):e1003890. doi: 10.1371/journal.pmed.1003890

Awoke N, Arota A. Profiles of hematological parameters in Plasmodium falciparum and Plasmodium vivax malaria patients attending Tercha General Hospital, Dawuro Zone, South Ethiopia. Infect Drug Resist. 2019;12:521-527. doi: 10.2147/IDR.S184489.

Hanley JA, McNeil BJ. The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology. 1982;143(1):29-36. doi: 10.1148/radiology.143.1.7063747

Özdemir S, Algın A. Interpretation of the area under the receiver operating characteristic curve. Exp App Med Sci. 2022;3(1):310-311.

Blackman NJ. Systematic reviews of evaluations of diagnostic and screening tests. Odds ratio is not independent of prevalence. BMJ. 2001;323(7322):1188.

Price CP, Newall RG, Boyd JC. Use of protein:creatinine ratio measurements on random urine samples for prediction of significant proteinuria: a systematic review. Clin Chem. 2005;51(9):1577-1586. doi: 10.1373/clinchem.2005.049742

Gruell H, Hamacher L, Jennissen V, et al. On Taking a Different Route: An Unlikely Case of Malaria by Nosocomial Transmission. Clin Infect Dis. 2017;65(8):1404-1406. doi: 10.1093/cid/cix520

Önlen Y, Çulha G, Ocak S, Savaş L, Güllü M. Yurtdışı kökenli Plasmodium falciparum sıtması: dört olgu sunumu. Türk Parazitol Derg. 2007;31(4):256-259.

Khan SJ, Abbass Y, Marwat MA. Thrombocytopenia as an indicator of malaria in adult population. Malar Res Treat. 2012;2012:405981. doi: 10.1155/2012/405981

Aitken EH, Alemu A, Rogerson SJ. Neutrophils and Malaria. Front Immunol. 2018;9:3005. doi: 10.3389/fimmu.2018.03005

White NJ. Anaemia and malaria. Malar J. 2018;17(1):371. doi: 10.1186/s12936-018-2509-9

Surve KM, Kulkarni AS, Rathod SG, Bindu RS. Study of haematological parameters in malaria. Int J Res Med Sci. 2017;5(6):2552-2557. doi:10.18203/2320-6012.ijrms20172446

Richards MW, Behrens RH, Doherty JF. Hematologic changes in Acute, Imported Plasmodium falciparum Malaria. Am J Trop Med Hyg. 1998;59(6):859.

Bashawri LAM, Mandil AA, Bahnassy AA, Ahmed MA. Malaria: Haematological Aspects. Annals of Saudi Medicine. 2002;22(5-6):372-377.

Bayleyegn B, Asrie F, Yalew A, Woldu B. Role of platelet indices as a potential marker for malaria severity. J Parasitol Res. 2021;2021:5531091. doi: 10.1155/2021/5531091

Özdemir S, Algın A. The Role of Platelet Indices in Predicting Short-Term Mortality in Elderly Patients with Pulmonary Embolism. J Contemp Med. 2021;11(6):833-837.

Mooney JP, Galloway LJ, Riley EM. Malaria, anemia, and invasive bacterial disease: A neutrophil problem? J Leukoc Biol. 2019;105(4):645-655. doi: 10.1002/JLB.3RI1018-400R

Rodrigues-da-Silva RN, Lima-Junior Jda C, et al. Alterations in cytokines and haematological parameters during the acute and convalescent phases of Plasmodium falciparum and Plasmodium vivax infections. Mem Inst Oswaldo Cruz. 2014;109(2):154-162. doi: 10.1590/0074-0276140275

Arévalo-Herrera M, Lopez-Perez M, Medina L, Moreno A, Gutierrez JB, Herrera S. Clinical profile of Plasmodium falciparum and Plasmodium vivax infections in low and unstable malaria transmission settings of Colombia. Malar J. 2015;14:154. doi: 10.1186/s12936-015-0678-3

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Published

2022-12-30

How to Cite

Özdemir, S., Algın, A., Altunok, İbrahim, & Arslan, E. (2022). The role of hematological parameters in differentiating Plasmodium falciparum and others – a study from Somalia. European Journal of Clinical and Experimental Medicine, 20(4), 430–434. https://doi.org/10.15584/ejcem.2022.4.8

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