scholarly journals A Descriptive Study on Hematological Changes in Brucellosis Infected Individuals

Author(s):  
Hameedullah Safi ◽  
Waheedullah Noori

Background: Brucellosis is a zoonotic organism that causes diseases in both animals and humans. Human contact with infected domestic animals is often a transmission route of Brucellosis infection. This infection affects hematological parameters of the patients. We carried this study to determine the changes in various hematological parameters in our study subjects. Patients and Methodology: This study was carried out in Nangarhar regional hospital and safi medical complex on 45 Afghani people from December 2018 up to December 2020. The study design was prospective. A total of 45 patients (Cases) with confirmed diagnosis of Brucellosis on the basis of serology enrolled in the study. Complete blood count and Erythrocyte sedimentation rate studies are also performed. Considered hematological parameters includes Hemoglobin (Hb), White Blood Cell count (WBC), Platelet count (PLT) and ESR.  As well interview was done with each patient and a questionnaire was used. The collected data was analyzed with Microsoft excel program Autosum statistics. Results. A total of 45 patients were enrolled. The mean age±SD of the patients under the study were (28.74±15.22) years. The most common hematological changes observed were; anemia (57.7%), thrombocytopenia (24%), leucocytosis (13.3%), pancytopenia (24.4%), lymphocytopenia (31.1%), lymphocytosis (55.5%) & leucopenia (40%). Erythrocyte sedimentation rate were elevated in about 66% of patients. Fever and headache were the most common presenting symptoms (73%) and (82%) respectively. Night sweats in (40%), joint pain (53%), muscle pain (53%) and lymphadenopathy in 46% of patients. Conclusion: This result of this study shows that Brucellosis commonly affects people of low socioeconomical states, female sex, uneducated, those consuming contaminated dairy products, peoples living in rural areas and those having consuming or contact with animal. Salmonella typhi causes changes in the hematological parameters due to involvement of bone marrow.

2016 ◽  
Vol 1 (3) ◽  
pp. 487-494 ◽  
Author(s):  
Mohammad Harun Ar Rashid ◽  
Nazim Ahmad ◽  
Mohammad Rohul Amin ◽  
Mohammad Lalmoddin Mollah

The present study was designed with a view to study the body weight and hematological parameters; total erythrocyte count, haemoglobin concentration, packed cell volume and erythrocyte sedimentation rate of growing broilers fed with standard poultry ration. Broilers were kept under close observation for a period of 14 days and body weight was measured at each 7 days interval up to the end of the 35 days of experimental period. A total of 20 (7 days old) broiler chicks were reared throughout the entire period of study. These chicks were randomly divided into four equal groups (n=5). Group A considered as control, fed only standard ration. Group B, C and D was considered as treated group. Group B with vitamin AD3E 1 ml/5 liter drinking water. Group C treated with mineral 1 ml/5 liter dirking water and Group D treated with vitamin (AD3E) 1 ml/5liter and mineral 1 ml/5 liter dirking water with standard ration. It was observed that body weight of broiler increased significantly (p<0.01) in group D compare to group A, B, & C. Total erythrocyte count, haemoglobin concentration and erythrocyte sedimentation rate values were significant (p<0.01) in the treated groups as compared to that of control group A. So it is concluded that vitamin (AD3E) and mineral supplementation with standard ration is beneficial for broiler production and economically profitable.Asian J. Med. Biol. Res. December 2015, 1(3): 487-494


2020 ◽  
Vol 15 (2) ◽  
pp. 62-68
Author(s):  
Ahmed N. Hussein

Background: Ulcerative colitis is a chronic inflammatory condition characterized by relapsing and remitting episodes of inflammation limited to the mucosal layer of the colon.Loop ileostomy might be helpful in the management of the disease. Objective: To evaluate the role of loop ileostomy in the management of ulcerative colitis.  Methods: Between Januarys 2008 and January 2018, patients with fulminant ulcerative colitis resistant to medical therapy had been referred to our surgical unit and were included in our study. Assessment of the patients’ medical status (serum electrolytes, total serum protein, complete blood count, erythrocyte sedimentation rate, general stool exam,and abdominal ultrasound and x-rays) and psychological statuswere done and then preoperative status correction followed by defunctioning loop ileostomy operated upon them and followed postoperatively in hospital for the response fortwo weeks of hospitalization. Results: Twenty patients were included in the study, two patients died postoperatively due to comorbidities and pulmonary embolism. Eighteen of twenty patients had a gradual improvement clinically (mucus diarrhea with/without blood, weight gain, fever, psychological and edema) and in hematological and biochemicalvalues (complete blood count, serum albumin protein, erythrocyte sedimentation rate and electrolytes) within two weeks. Conclusion: Defunctioning loop ileostomy is a simple,less morbidprocedure if compared to other medical treatments which can change the complication features of fulminant ulcerative colitis towards either continue in medical therapy or towards definitive curative surgery and cost effective as it decrease the need for expensive medications.


2015 ◽  
Vol 22 (2) ◽  
pp. 82-85
Author(s):  
Золоедов ◽  
V. Zoloedov ◽  
Земсков ◽  
M. Zemskov ◽  
Земскова ◽  
...  

The pathogenesis of various inflammatory diseases - deep pyodermia (DP), purulent soft tissue infection (PSTI), chronic pyelonephritis (SP) and chronic oophoritis (CO) is basis in the formation of diagnostically significant changes in routine hematological parameters and indicators of immune reactivity that can be represented in the form of specific formulas. So, the typical response of routine hematological tests on inflammation in patients from 4 groups was qualitatively universal standard, leukocytosis, neutrophilia, eosinophiles, monocytosis, lymphopenia, accelerated eryt-hrocyte sedimentation rate. In quantitative terms the differences were insignificant. When DP is relatively SP recorded higher leukocytosis and neutrophilia, relatively CO significantly less monocytosis and the value of the erythrocyte sedimentation rate, patients with CO had an advantage over SP by the number of neutrophils and monocytes, patients with PSTI relative to women with CO had reduced values of leukocyte, lymphocyte, granulocyte, erythrocyte sedimentation rate, relative to DP - monocytosis. In qualitative terms, the accumulation of hematological parameters for DP was minimal, with CO - maximum, when PSTI, SP - dynamics was average. One traditional treatment is not optimal, because it is not fully correct immune disorders. Additional administration to patients with monomodulators, metabolic agents, antioxidants, combinations of different origin, regional and systemic mechanism of action, with a differentiated focus on the basic parts of the lymphoid system (Roncoleukin, isoprinozine, gabriglobine, thymogen, nucleinate sodium, Derinat, polyoxidonium, licopid, superlymph, lipoxen, zygapan), in general, increases clinical effectiveness of conventional treatment, but requires a preliminary assessment of the effectiveness of these pharmacological effects on the clinical models. Mathematical formalization of the effects of immune disorders in the form of model formulas targets of action on lymphoid system allows you to set specific laboratory evidence to select individual options.


Author(s):  
Harida Zahraini ◽  
Yulia Nadar Indrasari ◽  
Hartono Kahar

The use of anticoagulants is one of the important pre-analytic factors in hematological tests. Both dipotassium (K2) andtripotassium (K3) Ethylene Diamine Tetraacetic Acid (EDTA) are widely used anticoagulants. International CouncilStandardization of Hematology (ICSH) and several researchers recommend the use of K2 EDTA due to its less hyperosmolareffect on blood cells compared to K3 EDTA. This study aimed to compare the results of Complete Blood Count (CBC) andErythrocyte Sedimentation Rate (ESR) using anticoagulant K2 EDTA and K3 EDTA. This study was an analytic observationalstudy with a cross-sectional design conducted from April to December 2018. The subject of the study were 103 healthyadults selected by consecutive sampling. Blood samples were collected in both anticoagulant tubes with a volume of 3 mLeach. Samples were tested twice, in the first 0 hours and the next 6 hours using Sysmex XN 1000 and Alifax Roller 20 LC.Kolmogorov-Smirnov test, paired T-test and Wilcoxon rank test were used for statistical analysis. The agreement testbetween both anticoagulants was carried out using the Bland Altman plot for parameters with a significant difference. Therewas a significant difference between both anticoagulants for the parameters of hemoglobin, hematocrit MCV, MCHC, RDW,PDW, MPV, PLC-R, and erythrocyte sedimentation rate in both the first and second tests. The agreement test using the BlandAltman plot showed that the difference in these parameters was within the Limit of Agreement (LOA) range of 95%. Thisstudy showed that there were differences in some parameters of complete blood count and erythrocyte sedimentation ratebetween the two anticoagulants (K2 K3 EDTA), but these differences were within the LOA range.


2021 ◽  
Vol 12 (4) ◽  
Author(s):  
Yu. V. Osadcha

Comparative analysis of changes in hematological parameters of hens under short-term exposure to various negative environmental factors was performed. For this purpose in the conditions of a modern complex on production of food eggs 3 groups of hens were formed, each of which was kept in a separate cage-analogue on the area and the equipment. In particular, the hens of the 2nd group were deprived of fodder, the 3rd group – of light, and the 4th group – were kept with a significant overcrowding. Exposure to the factor in all groups was 24 hours, after which hematological parameters were determined. Differences in the response of the blood system of hens to short-term exposure to adverse environmental factors depending on their nature were found. The smallest changes in the blood system of hens were observed under the influence of the lack of food, namely an increase, within the physiological norm, the content of leukocytes and ESR, decreased hemoglobin, hematocrit, erythrocytes, platelets, as well as violation of the ratio of different forms of leukocytes – an increase in the concentration of heterophiles (3.3% > normal) on the background of a decrease in the concentration of monocytes (1.6% < normal), lymphocytes and basophils. Whereas under the influence of the factor of lack of light, a higher content of leukocytes in the blood by 10.6%, a lower concentration of hemoglobin by 22.4%, hematocrit – by 4.2%, platelets – by 9.8%, as well as higher erythrocyte sedimentation rate by 9.8%, higher concentration of heterophiles by 5.9% and lower concentration of lymphocytes – by 4.6%, compared with the lack of food. The most significant changes in the blood system were observed under the influence of a factor of significant overcrowding of hens, namely higher blood leukocytes by 17.1 and 5.9%, lower hemoglobin concentration by 29.6 and 9.2%, hematocrit – by 5.9 and 1.7%, erythrocytes – by 10.3%, platelets – by 35.8 and 28.8%, as well as higher erythrocyte sedimentation rate by 4.9%, higher concentration of heterophiles by 11.3 and 5.4% and lower concentration monocytes – by 0.8 and 0.4%, lymphocytes – by 9.4 and 4.8% and eosinophils – by 0.7%, compared with the factor of lack of food and lack of light, respectively.


2021 ◽  
Vol 14 (1) ◽  
pp. 162-167
Author(s):  
Mojtaba Ahmadinejad ◽  
Seyed A. Hashemi ◽  
Alireza Shirzadi ◽  
Ali Soltanian ◽  
Jafar Ashrafi ◽  
...  

Objectives: The aim of this study is to evaluate the diagnostic significance of CA 125 in Acute Appendicitis (AA) along with the changes in its levels about clinical symptoms and lab findings. Methods: Patients referred at the emergency department of Madani hospital with the suspicion of AA and right iliac fossa pain were enrolled in this study. Preoperative CA 125 levels along with C-reactive Protein (CRP) and complete blood count were obtained. Lab findings, signs and symptoms were recorded for all the patients. Statistical analysis was conducted based on CA 125 < 16.4 U/mL and ≥ 16.4 U/mL using the logistic regression model, where variables such as fever, anorexia, CRP and Erythrocyte Sedimentation Rate (ESR) were added to the model. Results: Of 207 patients with the mean age of 26.55 ± 0.967 years, 48.8% of them were males and 51.20% were females. 122 of the total patients had CA 125 ≥ 16.4 U/mL. Anorexia was significantly associated with increased levels of CA 125. CA 125 was 2.14 times higher in patients presenting anorexia. However, ESR, CRP and fever were not associated with the elevation of CA 125. Based on the contour plot, it was deduced that leukocytosis at its lowest and erythrocyte sedimentation rate at its highest levels is associated with the maximum concentration of serum CA 125. Conclusion: Based on the findings from this study, CA 125 cannot be considered as a reliable diagnostic variable for acute appendicitis. Levels of CA 125 may vary with the severity of AA.


1977 ◽  
Vol 55 (2) ◽  
pp. 448-455 ◽  
Author(s):  
Morley W. Barrett ◽  
Gordon A. Chalmers

Hematological parameters for 112 free-ranging, adult pronghorns (Antilocapra amcricana) trapped in southeastern Alberta were obtained in 1973 and 1974. Mean erythrocyte, hematocrit, hemoglobin, and erythrocyte sedimentation rate values were 11.46 × 106/mm3. 51.66%, 18.32 g/dl. and 12.28 mm/24 h. respectively. Mean leukocyte number in pronghorns was 5.02 × 103/mm3. of which 65.8% were neutrophils; lymphocytes comprised 31.5% of while cells. Mean monocyte, eosinophil, and basophil numbers, collectively, represented less than 3% of total leukocytes. Hematocrit and hemoglobin values were significantly greater in females than in males. Significant (P < 0.05) differences in hematological values were associated with year of sampling, duration of capture time before blood sampling, and rectal temperature.


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