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尼日利亚奥穆阿兰地标大学医学中心伤寒热患者部分血液学参数的变化

Changes in some haematological parameters in typhoid fever patients attending Landmark University Medical Center, Omuaran-Nigeria.

作者信息

Ndako James A, Dojumo Victor T, Akinwumi Jeremiah A, Fajobi Victor O, Owolabi Akinyomade O, Olatinsu Oludolapo

机构信息

Department of Microbiology, Landmark University, Omu-Aran, Nigeria.

Department of Medical Laboratory Services, Landmark University Medical Center, Omu-Aran, Nigeria.

出版信息

Heliyon. 2020 May 22;6(5):e04002. doi: 10.1016/j.heliyon.2020.e04002. eCollection 2020 May.

Abstract

BACKGROUND

Typhoid or enteric fever is caused by . It is largely a disease of developing nations due to poor standard of hygiene and unavailability of potable water. The most prominent feature of the infection is fever which gradually rises to a high plateau. The prevalence of typhoid fever has been on the increase which is associated with several hematological parameters.

OBJECTIVES

This study was carried out to determine the changes in various hematological parameters in our study subjects.

METHOD

Four Hundred- (400) samples were obtained from volunteer subjects visiting the outpatient department of the Landmark University Medical Center. 200 typhoid positive samples were collected from subjects while 200 typhoid negative blood samples served as controls (From both male and female subjects each). Widal test was carried out as a confirmatory test for typhoid fever and evaluation of the hematological parameters were performed. The hematological parameters considered includes Packed Cell Volume (PCV), White Blood Cell count (WBC), Platelet count (PLT), Lymphocyte (LYMP) their implications on both male and female typhoid fever patients were also determined.

RESULTS

The result showed a significant reduction in the values for PCV, WBC, ESR and HAE concentration in typhoid positive males in comparison to typhoid negative males. In females, a significant decrease was observed in values for PCV, ESR, HAE concentration and PLT in typhoid positive females when compared to typhoid negative females. These parameters when compared showed a significant decrease recorded in PCV, ESR and HAE concentration of the typhoid positive male patients in comparison to typhoid positive female patients.

CONCLUSION

This study implies that anemia, bone marrow suppression and hemaphagocytosis are likely resulting factors of typhoid fever due to the changes in the hematological parameters. Therefore, these parameters have to be further studied to allow for efficient management of this illness.

摘要

背景

伤寒或肠热病由……引起。由于卫生标准差和缺乏饮用水,它在很大程度上是发展中国家的疾病。感染最突出的特征是发热,体温逐渐上升至高热持续期。伤寒热的患病率一直在上升,这与几个血液学参数有关。

目的

本研究旨在确定我们研究对象中各种血液学参数的变化。

方法

从访问地标大学医学中心门诊部的志愿者受试者中获取400份样本。从受试者中收集200份伤寒阳性样本,同时200份伤寒阴性血液样本作为对照(男女受试者各半)。进行肥达试验作为伤寒热的确诊试验,并对血液学参数进行评估。所考虑的血液学参数包括红细胞压积(PCV)、白细胞计数(WBC)、血小板计数(PLT)、淋巴细胞(LYMP),还确定了它们对男性和女性伤寒热患者的影响。

结果

结果显示,与伤寒阴性男性相比,伤寒阳性男性的PCV、WBC、血沉(ESR)和高铁血红蛋白(HAE)浓度值显著降低。在女性中,与伤寒阴性女性相比,伤寒阳性女性的PCV、ESR、HAE浓度和PLT值显著降低。与伤寒阳性女性患者相比,这些参数显示伤寒阳性男性患者的PCV、ESR和HAE浓度显著降低。

结论

本研究表明,由于血液学参数的变化,贫血、骨髓抑制和噬血细胞作用可能是伤寒热的致病因素。因此,必须进一步研究这些参数,以便有效地管理这种疾病。

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