Advertisement!
Author Information Pack
Editorial Board
Submit article
Special Issue
Editor's selection process
Join as Reviewer/Editor
List of Reviewer
Indexing Information
Most popular articles
Purchase Single Articles
Archive
Free Online Access
Current Issue
Recommend this journal to your library
Advertiser
Accepted Articles
Search Articles
Email Alerts
FAQ
Contact Us
Indian Journal of Pathology: Research and Practice

Volume  7, Issue 9, September 2018, Pages 1019-1024
 

Original Article

Haematological Parameters in Malaria: A Clinico Pathological Study from a Tertiary Care Centre

Pooja Agarwal

Assistant Professor, Department of Pathology, Rajshree Medical Research Institute, Bareilly, Uttar Pradesh 243122, India

Choose an option to locate / access this Article:
90 days Access
Check if you have access through your login credentials.        PDF      |
|

Open Access: View PDF

DOI: DOI: http://dx.doi.org/10.21088/ijprp.2278.148X.7918.10

Abstract

 Introduction: Malaria causes death of about1.1 to 2.7 million people annually of which majority are children under five years.Hematological changes are some of the most common complications in malaria and they play a major role in malarial pathogenesis. These changes involve the major cell types such as RBC, leucocytes and thrombocytes.This study aimed to access the changes in haematological parameters in smear positive malaria cases, to see the changes in biochemical parameters in smear positive malaria cases and to compare these changes in P. vivaxand P. falciparum infection. Material and Methods: This  observational study was conducted in in a tertiary care center during the period of May 2017 to May 2018. Total two hundred smear positive malaria cases were examined forvarious hematological parameters and biochemical parameters. Results: Results of the present study showed that 110 cases were P. Vivax positive while 90 patients were P. Falciperm positive among 200 smear positive cases. Majority of the patients (70%) have sown either mild (40%) or moderate degree (30%) of anemia. Among 9% of malaria patients Hb Concentration was <7 gm%. Most of the patients (68%), showed haematocrit level in the range of 20-35%.In anemic patients, commonly found RBC morphologywere normocytic, normochromic (64.55%) followed by microcytic hypochromic (29.11%) nearly equal in both P. falciparum and P. vivax malaria.Platelet counts were less than 1.5 lakhs/mm3 both types of malaria patients (71%). Further, severe thrombocytopenia (<50,000) was recorded in 19 malaria patients. Conclusion: Findings of the current study suggest that careful observation of haematological findings are warranted in the malaria patient as anaemia and thrombocytopenia of varying degree of severity have been found in malaria patients. Further, results of the present study showed that P. Falciparum and P. Vivax are associated with serious complications like severe anaemia and malarial hepatitis without any significant difference between both species. Hence, both P. Falciparum and P. Vivaxinfections on suspicion of complication should be further evaluated. However, more studies on larger populations are warranted to assess the haematological parameters in malaria. 

 
Keyworlds: Malaria; Thrombocytopenia; Leucocytosis; Anaemia.

Corresponding Author : Pooja Agarwal, Assistant Professor, Department of Pathology, Rajshree Medical Research Institute, Bareilly, Uttar Pradesh 243122, India