Mimicking platelet indices in patients with malaria and dengue hemorrhagic fever: characteristics and clinical applications
Abstract Background Although platelet indices are routinely available using automated blood cell counters, the clinical applications of these parameters for malaria and dengue hemorrhagic fever (DHF) have not been substantially implemented. We conducted this study to investigate the potential role o...
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ftdoajarticles:oai:doaj.org/article:d8fdbda85e4448fca31ced2c6b3bf418 2023-05-15T15:16:14+02:00 Mimicking platelet indices in patients with malaria and dengue hemorrhagic fever: characteristics and clinical applications Nant The Su Mon Noppadon Tangpukdee Prakaykaew Charunwatthana Kobporn Boonnak Srivicha Krudsood Shigeyuki Kano Polrat Wilairatana Wattana Leowattana 2022-10-01T00:00:00Z https://doi.org/10.1186/s41182-022-00467-8 https://doaj.org/article/d8fdbda85e4448fca31ced2c6b3bf418 EN eng BMC https://doi.org/10.1186/s41182-022-00467-8 https://doaj.org/toc/1349-4147 doi:10.1186/s41182-022-00467-8 1349-4147 https://doaj.org/article/d8fdbda85e4448fca31ced2c6b3bf418 Tropical Medicine and Health, Vol 50, Iss 1, Pp 1-10 (2022) Plasmodium falciparum malaria Plasmodium vivax malaria Dengue hemorrhagic fever Platelet indices Potential prognostic marker Thailand Arctic medicine. Tropical medicine RC955-962 article 2022 ftdoajarticles https://doi.org/10.1186/s41182-022-00467-8 2022-12-30T20:31:31Z Abstract Background Although platelet indices are routinely available using automated blood cell counters, the clinical applications of these parameters for malaria and dengue hemorrhagic fever (DHF) have not been substantially implemented. We conducted this study to investigate the potential role of platelet indices as a prognostic marker in adult patients with Plasmodium vivax malaria, Plasmodium falciparum malaria, and DHF admitted to the Hospital for Tropical Diseases, Bangkok, Thailand. Methods We enrolled 219 eligible patients, comprising 96 with P. falciparum malaria, 71 with P. vivax malaria, and 52 with DHF. We evaluated the study groups’ baseline clinical features and alterations of platelet indices during the first 4 days of admission. Results Upon admission, the initial laboratory findings showed no statistically significant difference in platelet count (PC), plateletcrit (PCT), or platelet distribution width (PDW) between patients with P. vivax and P. falciparum; however, mean platelet volume (MPV) was significantly higher in patients with P. falciparum. Comparisons of the initial platelet indices in malaria and DHF showed that only PC and PCT were significantly lower in DHF. Although MPV in DHF tended to be lower than in malaria, a statistically significant difference was observed only with P. falciparum. Moreover, the results also showed no significant alterations in the platelet indices among the study groups during the first 4 days of admission. Conclusions and recommendations Clinical presentations of DHF and malaria are nonspecific and may overlap with other common tropical diseases. Alterations of initial platelet indices may be investigated in P. vivax and P. falciparum malaria mimicking DHF. Although a significant reduction in PC and PCT in DHF might be a clue for differential diagnosis of malaria, the use of MPV and PDW might be impractical. We suggest that appropriate laboratory diagnoses for malaria and dengue infections are still needed for the differential diagnosis of acute febrile ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Tropical Medicine and Health 50 1 |
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Directory of Open Access Journals: DOAJ Articles |
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English |
topic |
Plasmodium falciparum malaria Plasmodium vivax malaria Dengue hemorrhagic fever Platelet indices Potential prognostic marker Thailand Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Plasmodium falciparum malaria Plasmodium vivax malaria Dengue hemorrhagic fever Platelet indices Potential prognostic marker Thailand Arctic medicine. Tropical medicine RC955-962 Nant The Su Mon Noppadon Tangpukdee Prakaykaew Charunwatthana Kobporn Boonnak Srivicha Krudsood Shigeyuki Kano Polrat Wilairatana Wattana Leowattana Mimicking platelet indices in patients with malaria and dengue hemorrhagic fever: characteristics and clinical applications |
topic_facet |
Plasmodium falciparum malaria Plasmodium vivax malaria Dengue hemorrhagic fever Platelet indices Potential prognostic marker Thailand Arctic medicine. Tropical medicine RC955-962 |
description |
Abstract Background Although platelet indices are routinely available using automated blood cell counters, the clinical applications of these parameters for malaria and dengue hemorrhagic fever (DHF) have not been substantially implemented. We conducted this study to investigate the potential role of platelet indices as a prognostic marker in adult patients with Plasmodium vivax malaria, Plasmodium falciparum malaria, and DHF admitted to the Hospital for Tropical Diseases, Bangkok, Thailand. Methods We enrolled 219 eligible patients, comprising 96 with P. falciparum malaria, 71 with P. vivax malaria, and 52 with DHF. We evaluated the study groups’ baseline clinical features and alterations of platelet indices during the first 4 days of admission. Results Upon admission, the initial laboratory findings showed no statistically significant difference in platelet count (PC), plateletcrit (PCT), or platelet distribution width (PDW) between patients with P. vivax and P. falciparum; however, mean platelet volume (MPV) was significantly higher in patients with P. falciparum. Comparisons of the initial platelet indices in malaria and DHF showed that only PC and PCT were significantly lower in DHF. Although MPV in DHF tended to be lower than in malaria, a statistically significant difference was observed only with P. falciparum. Moreover, the results also showed no significant alterations in the platelet indices among the study groups during the first 4 days of admission. Conclusions and recommendations Clinical presentations of DHF and malaria are nonspecific and may overlap with other common tropical diseases. Alterations of initial platelet indices may be investigated in P. vivax and P. falciparum malaria mimicking DHF. Although a significant reduction in PC and PCT in DHF might be a clue for differential diagnosis of malaria, the use of MPV and PDW might be impractical. We suggest that appropriate laboratory diagnoses for malaria and dengue infections are still needed for the differential diagnosis of acute febrile ... |
format |
Article in Journal/Newspaper |
author |
Nant The Su Mon Noppadon Tangpukdee Prakaykaew Charunwatthana Kobporn Boonnak Srivicha Krudsood Shigeyuki Kano Polrat Wilairatana Wattana Leowattana |
author_facet |
Nant The Su Mon Noppadon Tangpukdee Prakaykaew Charunwatthana Kobporn Boonnak Srivicha Krudsood Shigeyuki Kano Polrat Wilairatana Wattana Leowattana |
author_sort |
Nant The Su Mon |
title |
Mimicking platelet indices in patients with malaria and dengue hemorrhagic fever: characteristics and clinical applications |
title_short |
Mimicking platelet indices in patients with malaria and dengue hemorrhagic fever: characteristics and clinical applications |
title_full |
Mimicking platelet indices in patients with malaria and dengue hemorrhagic fever: characteristics and clinical applications |
title_fullStr |
Mimicking platelet indices in patients with malaria and dengue hemorrhagic fever: characteristics and clinical applications |
title_full_unstemmed |
Mimicking platelet indices in patients with malaria and dengue hemorrhagic fever: characteristics and clinical applications |
title_sort |
mimicking platelet indices in patients with malaria and dengue hemorrhagic fever: characteristics and clinical applications |
publisher |
BMC |
publishDate |
2022 |
url |
https://doi.org/10.1186/s41182-022-00467-8 https://doaj.org/article/d8fdbda85e4448fca31ced2c6b3bf418 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Tropical Medicine and Health, Vol 50, Iss 1, Pp 1-10 (2022) |
op_relation |
https://doi.org/10.1186/s41182-022-00467-8 https://doaj.org/toc/1349-4147 doi:10.1186/s41182-022-00467-8 1349-4147 https://doaj.org/article/d8fdbda85e4448fca31ced2c6b3bf418 |
op_doi |
https://doi.org/10.1186/s41182-022-00467-8 |
container_title |
Tropical Medicine and Health |
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50 |
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1 |
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1766346521244073984 |