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Hematological Profile of Malaria Patients at the Southeast Minahasa, North Sulawesi, Indonesia

Received: 5 December 2023    Accepted: 20 December 2023    Published: 28 December 2023
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Abstract

Malaria remains a public health concern in Indonesia. Several types of district and private hospitals play a very important role in treating malaria sufferers and their complications. Hematological alterations are the most prevalent consequences of malaria. Therefore, this study aimed to compile a hematological profile of malaria patients treated at Mitra Sehat Regional General Hospital, Southeast Minahasa Regency, North Sulawesi, Indonesia. A total of 92 patients with clinical symptoms of fever and positive for malaria after examining their peripheral blood smear, were included in this cross-sectional study. The data from the hematology examination was then analyzed. There were 65 cases caused by P. falciparum, followed by 21 cases of P. vivax, and 6 cases of P. falciparum and P. vivax co-infection. The most frequent hematological abnormality seen in malaria patients in this study was thrombocytopenia (91%). Furthermore, leukopenia was found in 33%, followed by anemia in 20%. While females had greater levels of white blood cells and platelets count, male patients had significantly higher averages for hemoglobin, red blood cells count, and hematocrit profiles. In conclusion, the hematological alterations associated with malaria patients include thrombocytopenia, leukopenia, and anemia, therefore people living in highly endemic locations, like Southeast Minahasa, can use these markers to strengthen their suspicion of malaria.

Published in International Journal of Infectious Diseases and Therapy (Volume 8, Issue 4)
DOI 10.11648/j.ijidt.20230804.15
Page(s) 146-149
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Malaria, Plasmodium, Anemia, Leukopenia, Thrombocytopenia

References
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[3] Kementerian Kesehatan Republik Indonesia. Kasus Malaria Indonesia Melonjak 36, 29% pada 2022 [Internet]. Available from: https://dataindonesia.id/kesehatan/detail/kasus-malaria-indonesia-melonjak-3629-pada-2022.
[4] Purwanto DS, Ottay RI. Profil penyakit malaria pada penderita rawat inap di Rumah Sakit Umum Daerah Kota Bitung. J Biomedik. 2013; 3(3): 172-8.
[5] Pinontoan OR, Punuh MI. Malarial risk factor identification in southern Minahasa, North Celebes Manado-Indonesia. Bali Med J. 2017; 6(2): 440-4.
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[7] Omarine Nlinwe N, Nange TB. Assessment of hematological parameters in malaria, among adult patients attending the Bamenda Regional Hospital. Anemia. 2020; 2020: 1-8.
[8] Kumbhar SS, Kanetkar SR, Mane A, Agarwal G, Bansal S. Clinico-hematological profile of malaria cases in a tertiary care hospital. Galore Int J of Health Sci and Research. 2019; 4(3): 79-89.
[9] Tafesse T, Amenu D. A retrospective analysis of malaria prevalence from 2015 to 2020 in Sibu Sire Woreda, East Wollega Zone, and Western Ethiopia. Int J Appl Biol; 2022; 6(2): 56-64.
[10] Gebreweld A, Erkihun Y, Feleke DG, Hailu G, Fiseha T. Thrombocytopenia as a diagnostic marker for malaria in patients with acute febrile illness. J Trop Med. 2021; 2021: 1-6.
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[14] Sakzabre D, Asiamah EA, Akorsu EE, Abaka-Yawson A, Dika ND, Kwasie DA, et al. Haematological profile of adults with malaria parasitaemia visiting the Volta Regional Hospital, Ghana. Adv Hematol. 2020; 2020: 1-6.
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  • APA Style

    Shintawati Purwanto, D., Merry Eva Mamahit, J. (2023). Hematological Profile of Malaria Patients at the Southeast Minahasa, North Sulawesi, Indonesia. International Journal of Infectious Diseases and Therapy, 8(4), 146-149. https://doi.org/10.11648/j.ijidt.20230804.15

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    ACS Style

    Shintawati Purwanto, D.; Merry Eva Mamahit, J. Hematological Profile of Malaria Patients at the Southeast Minahasa, North Sulawesi, Indonesia. Int. J. Infect. Dis. Ther. 2023, 8(4), 146-149. doi: 10.11648/j.ijidt.20230804.15

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    AMA Style

    Shintawati Purwanto D, Merry Eva Mamahit J. Hematological Profile of Malaria Patients at the Southeast Minahasa, North Sulawesi, Indonesia. Int J Infect Dis Ther. 2023;8(4):146-149. doi: 10.11648/j.ijidt.20230804.15

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  • @article{10.11648/j.ijidt.20230804.15,
      author = {Diana Shintawati Purwanto and Juliet Merry Eva Mamahit},
      title = {Hematological Profile of Malaria Patients at the Southeast Minahasa, North Sulawesi, Indonesia},
      journal = {International Journal of Infectious Diseases and Therapy},
      volume = {8},
      number = {4},
      pages = {146-149},
      doi = {10.11648/j.ijidt.20230804.15},
      url = {https://doi.org/10.11648/j.ijidt.20230804.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijidt.20230804.15},
      abstract = {Malaria remains a public health concern in Indonesia. Several types of district and private hospitals play a very important role in treating malaria sufferers and their complications. Hematological alterations are the most prevalent consequences of malaria. Therefore, this study aimed to compile a hematological profile of malaria patients treated at Mitra Sehat Regional General Hospital, Southeast Minahasa Regency, North Sulawesi, Indonesia. A total of 92 patients with clinical symptoms of fever and positive for malaria after examining their peripheral blood smear, were included in this cross-sectional study. The data from the hematology examination was then analyzed. There were 65 cases caused by P. falciparum, followed by 21 cases of P. vivax, and 6 cases of P. falciparum and P. vivax co-infection. The most frequent hematological abnormality seen in malaria patients in this study was thrombocytopenia (91%). Furthermore, leukopenia was found in 33%, followed by anemia in 20%. While females had greater levels of white blood cells and platelets count, male patients had significantly higher averages for hemoglobin, red blood cells count, and hematocrit profiles. In conclusion, the hematological alterations associated with malaria patients include thrombocytopenia, leukopenia, and anemia, therefore people living in highly endemic locations, like Southeast Minahasa, can use these markers to strengthen their suspicion of malaria.
    },
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Hematological Profile of Malaria Patients at the Southeast Minahasa, North Sulawesi, Indonesia
    AU  - Diana Shintawati Purwanto
    AU  - Juliet Merry Eva Mamahit
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    DO  - 10.11648/j.ijidt.20230804.15
    T2  - International Journal of Infectious Diseases and Therapy
    JF  - International Journal of Infectious Diseases and Therapy
    JO  - International Journal of Infectious Diseases and Therapy
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    PB  - Science Publishing Group
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    AB  - Malaria remains a public health concern in Indonesia. Several types of district and private hospitals play a very important role in treating malaria sufferers and their complications. Hematological alterations are the most prevalent consequences of malaria. Therefore, this study aimed to compile a hematological profile of malaria patients treated at Mitra Sehat Regional General Hospital, Southeast Minahasa Regency, North Sulawesi, Indonesia. A total of 92 patients with clinical symptoms of fever and positive for malaria after examining their peripheral blood smear, were included in this cross-sectional study. The data from the hematology examination was then analyzed. There were 65 cases caused by P. falciparum, followed by 21 cases of P. vivax, and 6 cases of P. falciparum and P. vivax co-infection. The most frequent hematological abnormality seen in malaria patients in this study was thrombocytopenia (91%). Furthermore, leukopenia was found in 33%, followed by anemia in 20%. While females had greater levels of white blood cells and platelets count, male patients had significantly higher averages for hemoglobin, red blood cells count, and hematocrit profiles. In conclusion, the hematological alterations associated with malaria patients include thrombocytopenia, leukopenia, and anemia, therefore people living in highly endemic locations, like Southeast Minahasa, can use these markers to strengthen their suspicion of malaria.
    
    VL  - 8
    IS  - 4
    ER  - 

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Author Information
  • Entomology Study Program, Postgraduate Program, Sam Ratulangi University, Manado, Indonesia; Department of Biochemistry, Faculty of Medicine, Sam Ratulangi University, Manado, Indonesia

  • Entomology Study Program, Postgraduate Program, Sam Ratulangi University, Manado, Indonesia

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