Annals of Tropical Medicine and Public Health
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Year : 2013  |  Volume : 6  |  Issue : 2  |  Page : 197-200

Thrombocytopenia in malaria and its correlation with different types of malaria

1 Department of Pathology, Adesh Institute of Medical Sciences and Research, Bhatinda, India
2 Department of Periodontics, CDSH, Rau- Indore, Madhya Pradesh, India

Correspondence Address:
Manmeet K Gill
H.N. 22265/A, Shant Nagar, Bathinda, Punjab
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1755-6783.116521

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Aim of the Study: Malaria is a major health problem in the tropics with increased morbidity and mortality. Thrombocytopenia is a common finding in malaria. Although a reliable diagnostic marker, prognostic implications could vary in the two types of malaria. This study was undertaken to assess the presence and severity of thrombocytopenia in malaria patients. Design: A total of 120 patients were included in the study and identified positive for malaria parasites on peripheral smear examination with conventional microscopy. Platelet count was done on a fully automated, quantitative, hematology analyzer. Results: Thrombocytopenia was noted in 63.33% cases. The mean platelet count in Plasmodium vivax (Pv) malaria was 1,27,652/μl (SD 78,269) with a range of 8000-3,50,000/μl, as against Plasmodium falciparum (Pf) malaria where the mean platelet count was 78,500/μl (SD 51,485) with a range of 9000-1,90,000/μl. Platelet count < 50,000/μl was noted in only 17.4% cases of Pv malaria as against 33.3% cases of Pf malaria. Conclusion: Although absence of thrombocytopenia is uncommon in malaria, its presence is not a distinguishing feature between the two types of malaria. Our study stresses the importance of thrombocytopenia as an indicator of acute malaria.

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