Hematological indices and abnormalities among patients with uncomplicated falciparum malaria in Kosti city of the White Nile state, Sudan: a comparative study
Abstract Background Hematological abnormalities are common features in falciparum malaria but vary among different populations across countries. Therefore, we compared hematological indices and abnormalities between Plasmodium falciparum-infected patients and malaria-negative subjects in Kosti city...
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doaj-b82b83e11ba8444b8563ac0640f607ac2021-06-06T11:09:15ZengBMCBMC Infectious Diseases1471-23342021-05-012111810.1186/s12879-021-06228-yHematological indices and abnormalities among patients with uncomplicated falciparum malaria in Kosti city of the White Nile state, Sudan: a comparative studyAhmed M. E. Elkhalifa0Rashad Abdul-Ghani1Abdelhakam G. Tamomh2Nur Eldin Eltaher3Nada Y. Ali4Moataz M. Ali5Elsharif A. Bazie6Aboagla KhirAlla7Fatin A. DfaAlla8Omnia A. M. Alhasan9Department of Public Health, College of Health Sciences Saudi Electronic UniversityDepartment of Medical Parasitology, Faculty of Medicine and Health Sciences, Sana’a UniversityDepartment of Parasitology and Medical Entomology, Faculty of Medical Laboratory Sciences, University of El Imam El MahdiDepartment of Public Health, Faculty of Public and Environmental Health, University of El Imam El MahdiDepartment of Hematology, Faculty of Medical Laboratory Sciences, University of El Imam El MahdiDepartment of Pathology, Faculty of Medicine, University of El Imam El MahdiDepartment of Pediatrics, Faculty of Medicine, University of El Imam El MahdiDepartment of Hematology, Faculty of Medical Laboratory Sciences, University of El Imam El MahdiDepartment of Hematology, Faculty of Medical Laboratory Sciences, University of El Imam El MahdiDepartment of Hematology, Faculty of Medical Laboratory Sciences, University of El Imam El MahdiAbstract Background Hematological abnormalities are common features in falciparum malaria but vary among different populations across countries. Therefore, we compared hematological indices and abnormalities between Plasmodium falciparum-infected patients and malaria-negative subjects in Kosti city of the White Nile State, Sudan. Methods A comparative, cross-sectional study was conducted at the Clinical Laboratory Unit of Kosti Teaching Hospital from June to December 2018. A total of 392 participants (192 P. falciparum-infected patients and 200 malaria-negative subjects) were recruited in the study. Hematological indices of hemoglobin (Hb), red blood cells (RBCs), white blood cells (WBCs) and platelets were measured, and their median values were statistically compared. Results The majority of P. falciparum-infected patients (67.6%) showed a low-level parasitemia. The median values of Hb concentration, RBC count, mean corpuscular volume (MCV), mean corpuscular Hb (MCH) and mean corpuscular Hb concentration (MCHC) were significantly lower in P. falciparum-infected patients, while the median red cell distribution width (RDW) was significantly higher in the patients compared to malaria-negative subjects. Anemia, low MCV, low MCH, low MCHC and high RDW were significantly associated with falciparum malaria, but parasitemia level was not significantly associated with anemia severity. The median total WBC count was non-significantly higher in P. falciparum-infected patients, with neutropenia being significantly associated with falciparum malaria. The median platelet count was significantly lower in P. falciparum-infected patients, with thrombocytopenia being significantly associated with falciparum malaria. Conclusions Falciparum malaria among patients in Kosti city of the White Nile State, Sudan is predominantly of low-level parasitemia. It is significantly associated with anemia, low MCV, low MCH, low MCHC, high RDW, thrombocytopenia and neutropenia. However, parasitemia level is not a significant predictor of anemia severity. On the other hand, leucopenia is not useful to predict falciparum malaria. Further large-scale studies in community and healthcare settings and inclusion of patients with complicated or severe malaria and those with high parasite densities are recommended.https://doi.org/10.1186/s12879-021-06228-yFalciparum malariaHematological indicesAnemiaThrombocytopeniaNeutropeniaMCV |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ahmed M. E. Elkhalifa Rashad Abdul-Ghani Abdelhakam G. Tamomh Nur Eldin Eltaher Nada Y. Ali Moataz M. Ali Elsharif A. Bazie Aboagla KhirAlla Fatin A. DfaAlla Omnia A. M. Alhasan |
spellingShingle |
Ahmed M. E. Elkhalifa Rashad Abdul-Ghani Abdelhakam G. Tamomh Nur Eldin Eltaher Nada Y. Ali Moataz M. Ali Elsharif A. Bazie Aboagla KhirAlla Fatin A. DfaAlla Omnia A. M. Alhasan Hematological indices and abnormalities among patients with uncomplicated falciparum malaria in Kosti city of the White Nile state, Sudan: a comparative study BMC Infectious Diseases Falciparum malaria Hematological indices Anemia Thrombocytopenia Neutropenia MCV |
author_facet |
Ahmed M. E. Elkhalifa Rashad Abdul-Ghani Abdelhakam G. Tamomh Nur Eldin Eltaher Nada Y. Ali Moataz M. Ali Elsharif A. Bazie Aboagla KhirAlla Fatin A. DfaAlla Omnia A. M. Alhasan |
author_sort |
Ahmed M. E. Elkhalifa |
title |
Hematological indices and abnormalities among patients with uncomplicated falciparum malaria in Kosti city of the White Nile state, Sudan: a comparative study |
title_short |
Hematological indices and abnormalities among patients with uncomplicated falciparum malaria in Kosti city of the White Nile state, Sudan: a comparative study |
title_full |
Hematological indices and abnormalities among patients with uncomplicated falciparum malaria in Kosti city of the White Nile state, Sudan: a comparative study |
title_fullStr |
Hematological indices and abnormalities among patients with uncomplicated falciparum malaria in Kosti city of the White Nile state, Sudan: a comparative study |
title_full_unstemmed |
Hematological indices and abnormalities among patients with uncomplicated falciparum malaria in Kosti city of the White Nile state, Sudan: a comparative study |
title_sort |
hematological indices and abnormalities among patients with uncomplicated falciparum malaria in kosti city of the white nile state, sudan: a comparative study |
publisher |
BMC |
series |
BMC Infectious Diseases |
issn |
1471-2334 |
publishDate |
2021-05-01 |
description |
Abstract Background Hematological abnormalities are common features in falciparum malaria but vary among different populations across countries. Therefore, we compared hematological indices and abnormalities between Plasmodium falciparum-infected patients and malaria-negative subjects in Kosti city of the White Nile State, Sudan. Methods A comparative, cross-sectional study was conducted at the Clinical Laboratory Unit of Kosti Teaching Hospital from June to December 2018. A total of 392 participants (192 P. falciparum-infected patients and 200 malaria-negative subjects) were recruited in the study. Hematological indices of hemoglobin (Hb), red blood cells (RBCs), white blood cells (WBCs) and platelets were measured, and their median values were statistically compared. Results The majority of P. falciparum-infected patients (67.6%) showed a low-level parasitemia. The median values of Hb concentration, RBC count, mean corpuscular volume (MCV), mean corpuscular Hb (MCH) and mean corpuscular Hb concentration (MCHC) were significantly lower in P. falciparum-infected patients, while the median red cell distribution width (RDW) was significantly higher in the patients compared to malaria-negative subjects. Anemia, low MCV, low MCH, low MCHC and high RDW were significantly associated with falciparum malaria, but parasitemia level was not significantly associated with anemia severity. The median total WBC count was non-significantly higher in P. falciparum-infected patients, with neutropenia being significantly associated with falciparum malaria. The median platelet count was significantly lower in P. falciparum-infected patients, with thrombocytopenia being significantly associated with falciparum malaria. Conclusions Falciparum malaria among patients in Kosti city of the White Nile State, Sudan is predominantly of low-level parasitemia. It is significantly associated with anemia, low MCV, low MCH, low MCHC, high RDW, thrombocytopenia and neutropenia. However, parasitemia level is not a significant predictor of anemia severity. On the other hand, leucopenia is not useful to predict falciparum malaria. Further large-scale studies in community and healthcare settings and inclusion of patients with complicated or severe malaria and those with high parasite densities are recommended. |
topic |
Falciparum malaria Hematological indices Anemia Thrombocytopenia Neutropenia MCV |
url |
https://doi.org/10.1186/s12879-021-06228-y |
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