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Differentiating between dengue fever and malaria using hematological parameters in endemic areas of Thailand.

Abstract Dengue fever (DF) and malaria are the two major public health concerns in tropical countries such as Thailand. Early differentiation between dengue and malaria could help clinicians to identify patients who should be closely monitored for signs of dengue hemorrhagic fever or severe malaria. This study aims to build knowledge on diagnostic markers that are used to discriminate between the infections, which frequently occur in malaria-endemic areas, such as the ones in Thailand.
PMID
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Authors

Mayor MeshTerms

Hematologic Tests

Keywords

Dengue

Hematological parameters

Malaria

Markers

Journal Title infectious diseases of poverty
Publication Year Start




PMID- 28249623
OWN - NLM
STAT- MEDLINE
DA  - 20170302
DCOM- 20170315
LR  - 20170315
IS  - 2049-9957 (Electronic)
IS  - 2049-9957 (Linking)
VI  - 6
IP  - 1
DP  - 2017 Mar 02
TI  - Differentiating between dengue fever and malaria using hematological parameters
      in endemic areas of Thailand.
PG  - 27
LID - 10.1186/s40249-017-0238-x [doi]
AB  - BACKGROUND: Dengue fever (DF) and malaria are the two major public health
      concerns in tropical countries such as Thailand. Early differentiation between
      dengue and malaria could help clinicians to identify patients who should be
      closely monitored for signs of dengue hemorrhagic fever or severe malaria. This
      study aims to build knowledge on diagnostic markers that are used to discriminate
      between the infections, which frequently occur in malaria-endemic areas, such as 
      the ones in Thailand. METHODS: A retrospective study was conducted in Phop Phra
      Hospital, a hospital located in the Thailand-Burma border area, a malaria-endemic
      area, between 2013 and 2015. In brief, data on 336 patients infected with malaria
      were compared to data on 347 patients infected with DF. RESULTS: White blood
      cells, neutrophil, monocyte, eosinophil, neutrophil-lymphocyte ratio, and
      monocyte-lymphocyte ratio were significantly lower in patients with DF compared
      to patients with malaria (P < 0.0001). In contrast, red blood cells, hemoglobin, 
      hematocrit, mean corpuscular volume, mean corpuscular hemoglobin, and mean
      corpuscular hemoglobin concentration were significantly higher in patients with
      DF as compared to patients with malaria (P < 0.0001). A decision tree model
      revealed that using neutrophils, lymphocyte, MCHC, and gender was guided to
      discriminate between dengue and malaria infection. CONCLUSION: This study
      concluded that several hematological parameters were different for diagnosing DF 
      and malaria. A decision tree model revealed that using neutrophils, lymphocyte,
      MCHC, and gender was guided to discriminate patients with dengue and malaria
      infection. In addition, using these markers will thus lead to early detection,
      diagnosis, and prompt treatment of these tropical diseases.
FAU - Kotepui, Manas
AU  - Kotepui M
AD  - Medical Technology Program, School of Allied Health Sciences, Walailak
      University, Nakhon Si Thammarat, 80161, Thailand. [email protected]
FAU - PhunPhuech, Bhukdee
AU  - PhunPhuech B
AD  - Medical Technology Laboratory, Phop Phra Hospital, PhopPhra District, Tak
      Province, 63160, Thailand.
FAU - Phiwklam, Nuoil
AU  - Phiwklam N
AD  - Medical Technology Laboratory, Phop Phra Hospital, PhopPhra District, Tak
      Province, 63160, Thailand.
FAU - Uthaisar, Kwuntida
AU  - Uthaisar K
AD  - Medical Technology Program, School of Allied Health Sciences, Walailak
      University, Nakhon Si Thammarat, 80161, Thailand.
LA  - eng
PT  - Journal Article
DEP - 20170302
PL  - England
TA  - Infect Dis Poverty
JT  - Infectious diseases of poverty
JID - 101606645
RN  - 0 (Biomarkers)
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Biomarkers/*blood
MH  - Blood Cell Count/*methods
MH  - Case-Control Studies
MH  - Child
MH  - Decision Trees
MH  - Demography
MH  - Dengue/*diagnosis/epidemiology
MH  - Diagnosis, Differential
MH  - Endemic Diseases
MH  - Erythrocyte Indices
MH  - Female
MH  - Fever/etiology
MH  - Hematocrit
MH  - *Hematologic Tests
MH  - Humans
MH  - Leukocyte Count
MH  - Malaria/*diagnosis/epidemiology
MH  - Male
MH  - Myanmar/epidemiology
MH  - Retrospective Studies
MH  - Severe Dengue/diagnosis/epidemiology
MH  - Thailand/epidemiology
MH  - Young Adult
PMC - PMC5333447
OTO - NOTNLM
OT  - Dengue
OT  - Hematological parameters
OT  - Malaria
OT  - Markers
EDAT- 2017/03/03 06:00
MHDA- 2017/03/16 06:00
CRDT- 2017/03/03 06:00
PHST- 2016/04/20 [received]
PHST- 2017/01/06 [accepted]
AID - 10.1186/s40249-017-0238-x [doi]
AID - 10.1186/s40249-017-0238-x [pii]
PST - epublish
SO  - Infect Dis Poverty. 2017 Mar 2;6(1):27. doi: 10.1186/s40249-017-0238-x.

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