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

Overview of attention for article published in Infectious Diseases of Poverty, March 2017
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Title
Differentiating between dengue fever and malaria using hematological parameters in endemic areas of Thailand
Published in
Infectious Diseases of Poverty, March 2017
DOI 10.1186/s40249-017-0238-x
Pubmed ID
Authors

Manas Kotepui, Bhukdee PhunPhuech, Nuoil Phiwklam, Kwuntida Uthaisar

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. 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. 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. 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.

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Geographical breakdown

Country Count As %
Unknown 123 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 21 17%
Student > Bachelor 17 14%
Researcher 16 13%
Student > Ph. D. Student 7 6%
Student > Doctoral Student 7 6%
Other 21 17%
Unknown 34 28%
Readers by discipline Count As %
Medicine and Dentistry 36 29%
Biochemistry, Genetics and Molecular Biology 13 11%
Immunology and Microbiology 9 7%
Nursing and Health Professions 6 5%
Social Sciences 5 4%
Other 17 14%
Unknown 37 30%