Title: Hematological and Some Liver Function Tests In Patients with Malaria

Authors: S. B. Shikhare, K. N. Pujari, S. M. Pawar

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i2.107

Abstract

Malaria is a major health problem in India. Pathogenesis of malaria is based mainly on extensive changes in hematological and biochemical parameters. Malaria is the most dangerous parasite disease mostly caused by the parasite of genus Plasmodium.

We have estimated the Hemoglobin and total WBC count and serum bilirublin and serum enzymes such aspartate aminotransferase and alanine aminotransferase in malaria patients and healthy control. We found significantly decreased hemoglobin and total WBC count and significantly increased bilirubin, aspartate aminotransferase and alanine aminotransferase in patients with malaria as compared to control. Our study indicates that liver enzymes AST and ALT were significantly increases in malaria patients as compared to control subjects. Therefore these enzymes may be useful in diagnosis of malaria subjects.

Keywords: Bilirubin, Aspartate aminotransferase, Alanine aminotransferase.

References

1.      Godse RR. Hematological and biochemical evaluation in malaria patients with clinical correlation. IJRRMS 2013; 3(4):1-5.

2.      Kausar MW, Moeed K, Asif N, Rizwi F, Raza S. Correlation of bilirubin with liver enzymes in patients of falciparum malaria. International Journal of Pathology 2010; 8(2):63-67.

3.      Isselbacher KJ, Braunwald E, Wilson JD, Martin JB, Fauci AS, Kasper DL, editors. Harison’s Principles of Internal Medicine, 12th edition, New York, St. Louis, San Francisco, McGrawHill, 1994;887-895.

4.      Dacie JV, Lewis SM. Practical Hematology 4th edition, 1968J & A Churchil, UK, page no 37.

5.      Winsten S, Cehelyk B. A rapid micro diazo technique for measuring total bilirubin. Clin Chem Acta, Sept 1969; 25(3):441-446.

6.      Tietz NW. Clinical guide to laboratory tests. 3rd edition, WB Saunders eds. Philadelphia, USA, 1995, 76.

7.      Clin Chem Acta 1980; 105:147-172.

8.      Kulkarni AG, Suryakar AN, Sardeshmukh AS, Rathi DB. Studies on biochemical changes with special reference to oxidant and antioxidant in malaria patients. Indian Journal Clinical Biochemistry, July 2003; 18(2):136-149.

9.      Meraiyebu Ajibola, Akintayo Christopher Oloruntoba, Nenchi Dooshima Yetusoko. Evaluation of Pcv and Hemoglobin Variations among Malaria Positive and Malaria Negative Patients, At the Ecwa Community Health Centre Bukuru, Jos. Nigeria. IOSR Journal of Pharmacy, Nov- Dec 2012; 2(6):65-69.

10.  Mohamed Al-Salahy, Bushra Shnawa, Gamal Abed, AhmedMandour, and Ali Al-Ezzi. Parasitaemia and Its Relation to Hematological Parameters and Liver Function among Patients Malaria in Abs, Hajjah, Northwest Yemen.  Hindawi Publishing Corporation Interdisciplinary Perspectives on Infectious Diseases 2016; Article ID 5954394, 5 pages.

11.  Andre M Siqueira, Janieldo A Cavalcante, Shelia Vítor-Silva, Roberto C Reyes-Lecca, Aline C Alencar, Wuelton M Monteiro et al. Influence of age on the haemoglobin concentration of malaria-infected patients in a reference centre in the Brazilian Amazon. Mem Inst Oswaldo Cruz, Rio de Janeiro, Aug 2014;109(5): 569-576.

12.  M. Sharma, N. Nand, H. Kumar, Lata Suman. Evaluation of Liver Functions in Falciparum Malaria. JIMSA Oct-Dec 2012; 25(4):229-230.

13.  SK Mishra, S Mohapatra, S Mohanty. Jaundice in Falciparum Malaria. JIACM 2003; 4(1): 12-3.

14.  Shahnaz Shah, Liaquat Ali, Rukhsana Abdul Sattar, Tariq Aziz, Tahir Ansari and Jamal Ara. Malarial Hepatopathy in Falciparum Malaria. Journal of the College of Physicians and Surgeons Pakistan 2009, Vol. 19 (6): 367-370.

15.  Sudha Jha, Shailaza Shrestha, Sheetal G. Gole and Gagan Deep. Assessment of serum bilirubin and hepatic enzymes in malaria patients.  IJBAR 2014; 5 (3):160-162.

16.  Onyesom and N. Onyemakonor. Levels of Parasitaemia and Changes in Some Liver Enzymes among Malarial Infected Patients in Edo-Delta Region of Nigeria. Current Research Journal of Biological Sciences 2011; 3(2): 78-81.

17.  Dr T. Anil Kumar, Dr B. Lakshmi Keerthana. Serum enzyme levels as biomarkers in malaria. Sch. J. App. Med. Sci., 2016; 4(1B):89-92.

Corresponding Author

Dr. K. N. Pujari

Associate professor, Department of Biochemistry

Government Medical College, Miraj-416410 (INDIA)

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