EVALUATION THE EFFECT OF THE MALARIA PARASITE ON PROTHROMBIN TIME AND ACTIVATED PARTIAL THROMBOPLASTIN TIME LEVELS AMONG SUDANESE PATIENT IN KHARTOUM STATE- SUDAN.
- Department of Hematology and Immunohematology, College of Medical Laboratory Science, Sudan University ofScience and Technology, Khartoum, Sudan.
- Head Department of Parasitology and Medical Entomology, College of Medical Laboratory Science, Sudan University of Science and Technology, Khartoum, Sudan.
- Department of Parasitology and Medical Entomology, College of Medical Laboratory Science, Sudan University of Science and Technology, Khartoum, Sudan.
96 Downloads
380 Views
Abstract
The hemostatic alterations play an important role in malaria pathogenesis and in the progression of disease. In severe infection the accelerated coagulation cascade activity with accelerated fibrinogen turnover increase the bleeding tendency and may lead to DIC. The present study was aimed to determine the effect of malaria parasites on Prothrombin Time and Activated Partial Thromboplastin Time Levels. A single citrated blood sample of patients diagnosed with malaria was analysed in semi- automated coagulation analyzer at the time of presentation, the values were compared with healthy controls. Data was analyzed by mean standard deviation and by ?t? test using SPSS software version 16. PT and APTT were significantly raised in cases when compared to control group, prolonged APTT is observed in 44% (P.value.001) and prolonged PT is observed in 43% of cases (P. value .016), the mean of PT (15.73 sec), and the mean of APTT (40.24 sec) in cases group. The mean of PT and APTT in control group, (13.94 sec), (30.87 sec) respectively. This study concluded that malaria infection altered the blood coagulation mechanism causing significant prolongation in PT and APTT.
Keywords
Article Analytics
References
- Kumar, v., Abbas, k., and Aster, j. (2013). Robbins basic pathology. 9th ed. Canada: Elsevier Saunders, p84
- Schmaier, A. H., and Lazarus, H. M. (2012). Concise Guide to Hematology. 1th ed. UK: Blackwell Publishing Ltd, p 97, 98, 99, 100, 101.
- World Health Organization. (2016). World Malaria Report (2016), Available at www.who.int/malaria/countries/sdn/en/.
- Francischetti, I. M., Seydel, K. B. and Monteiro, R. Q. (2008). Blood coagulation, inflammation, and malaria.Microcirculation, 15(2):81-107
- Francischetti, I. M. (2008). Does activation of the blood coagulation cascade have a role in malaria pathogenesis?Trends Parasitol.;24(6):258-263.
- Miller, L. H., Baruch, D. I., Marsh, K. and Doumbo, O. K. (2002). The pathogenic basis of malaria, NATURE; 415: 673-674
- Graham, S. M., Chen, J., Chung, D.W. and Barker, K. R. et al., (2016). Endothelial activation, haemostasis and thrombosis biomarkers in Ugandan children with severe malaria participating in a clinical trial. Malaria journal, 15:56.
- De Mast, Q., Groot, E., Asih, P. B., Syafruddin, D., Oosting, M., Sebastian, S., ... and Fijnheer, R. (2009). ADAMTS13 deficiency with elevated levels of ultra-large and active von Willebrand factor in P. falciparum and P. vivax malaria. The American journal of tropical medicine and hygiene, 80(3), 492-498.
- Akinosoglou KS, Solomou EE, Gogos CA. (2012). Malaria: a haematological disease. HematolAmst Neth;17:106?14. doi:10.1179/1024533.
- Angchaisuksiri P. (2014). Coagulopathy in malaria,Thrombosis Research; 133: 5?9
- Mohanty, ,? Marwaha,? N.,? Ghosh,? K.,? Sharma,? S., Garewal, G., Shah, S., Devi, S. and? Das, K. C. (1988). Functional and ultrastructural changes of platelets in malarial infection. Trans R Soc Trop Med Hyg;82:369.
- Francischetti, N. B., Seydel. K. B. and Monteiro, R. Q. (2005). Critical role of blood coagulation in? Blood journal, 106(11):4044.
- Francischetti, N. B., Seydel, K. B. and Monteiro, R.Q. (2008). Blood coagulation, Inflammation? and malaria. Informa healthcare, 15: 81-107.
- Francischetti, I. M. B., Seydel, K. B., Monteiro, R. Q., Whitten, R. O., Erexson, C. R., Noronha, A. L. L., Ostera, G. R., Kamiza, S. B., Molyneux, M. E., Ward, J. M. and Taylor, T. E. (2007). Plasmodium falciparum-infected erythrocytes induce tissue factor expression in endothelial cells and support the assembly of multimolecular coagulation complexes. J ThrombHaemost; 5: 155?65.
- Reshma, K., Veronica, L., Raphael, L., and Vedasree, M. (2016). Clinical Correlation of Coagulopathy in Vivax Malaria, Pacific Group of e-Journals, 3(1): 61-65.
- Ried, j., Mordmuller, B., Koder, S., Hoffman, S. L. and Kremsner, P. G. (2016). Alterations of blood coagulation in controlled human malaria infection. Malaria journal. 15: 15.
- Das, S., Datta, S., Roul, L. D., Panda, J. K., Pattanayak, N. C., and Bhattacherjee, s. (2011). A study of the coagulation profile in falciparum malaria, Orissa physicians journal, 7: 7-12.
- Rojanasthein, S., Surakamolleart, V., Boonpucknavig, S., and Isarangkura, P. (1992). Hematological and Coagulational Studies, Malaria journal, 75(1):190- 194.
- Mohapatra, S., Samantary, J.C., Arulselvi, S., and Ghosh, A. (2013). Disseminated intravascular coagulation following malaria due to Plasmodium vivax, Malaria journal, 12: 336.
How to Cite This Article
Sarah Mahmoud Abdabagi, Fayhaa Mohammed Altayeb, Ahmed BakheetAbdAlla,RaniaAbdAlrhaman Osman and Ali ElaminNasir. (2018); EVALUATION THE EFFECT OF THE MALARIA PARASITE ON PROTHROMBIN TIME AND ACTIVATED PARTIAL THROMBOPLASTIN TIME LEVELS AMONG SUDANESE PATIENT IN KHARTOUM STATE- SUDAN., Int. J. of Adv. Res., 6 (09), 1045-1049, ISSN 2320-5407. DOI: https://doi.org/10.21474/IJAR01/7769
Corresponding Author
This work is licensed under a Creative Commons Attribution 4.0 International License.





