Title: Comparison of Effect on Hemoglobin, Hematocrit & Platelet Count in Patients of P.Falciparum and P.Vivax Malaria in a Tertiary Care Hospital in Gujarat
Authors: Dr Faruq I. Mulla, Dr Monica Gupta, Dr Menka Shah
DOI: https://dx.doi.org/10.18535/jmscr/v5i5.13
Abstract
Background: Hematological parameters are measurable indices of blood that serve as a marker for disease diagnosis RBCs destruction is an inevitable part of malaria, severe anemia may arise from acute haemolysis.
Aim: Comparison of effect on Hemoglobin, Hematocrit & platelet count in patients of P.falciparum and P.Vivax malaria.
Method and Material: This study of hematological changes in malaria is carried out in Shree Krishna Hospital, Karamsad from the period of January 2012 to January 2013. All positive malaria cases are taken and various hematological parameters are studied.
Results: Out of 216 cases 16 of them are positive for P.vivax and 47 of them are positive for P.falciparum are seen. 3 cases of mixed infection are also seen. Incidence of P.vivax 76.9% and P.falciparum 21.8%. majority of the patients has normal concentration of Heamoglobin and mild degree (31.9%) of anaemia. Haematocrit values of less than 20 were seen more commonly in falciparum infection. Decreased platelet count is a constant feature of both types of malaria with 83.33% cases showing platelets less than 1.5 lacs. However platelet counts severely depleted in 30 cases of P. Falcipharum.
Conclusion: This study highlights fall in Hb and hematocrit more in P. Falcipharum malaria. The decrease in platelet count were also more severe in patients affected by P. Falcipharum. P. vivax was the predominant species detected in the patients of malaria.