Urinalysis and Clinical Correlations in Patients with P. vivax or P. falciparum Malaria from Colombia
Joint Authors
Tobón-Castaño, Alberto
Barrera Escobar, Sebastián
Giraldo Castro, Cecilia
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-12, 12 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-05-24
Country of Publication
Egypt
No. of Pages
12
Main Subjects
Abstract EN
Background.
Urinalysis is a poorly reviewed diagnostic tool in malaria patients; its application can show the presence of severe malaria.
Methods.
Urinalysis was performed in a total of 620 patients diagnosed with malaria by thick blood smear; complications were classified according to WHO major criteria for severity and minor criteria according to the Colombian malaria guideline.
Results.
Severe or moderate clinical complications were diagnosed in 31.1% of patients, hepatic dysfunctions were diagnosed in 25.8%, anemia was diagnosed in 9.8%, thrombocytopenia was diagnosed in 7.7%, renal dysfunction was diagnosed in 4.8%, neurological and pulmonary complications were diagnosed in 2.1% and 2.4%, hypoglycemia was diagnosed in 1.1% of patients with blood glucose analysis, and acidosis was diagnosed in 10 of 25.
Bilirubinuria was found in 24.3%, associated with urobilinuria, proteinuria, and increased specific gravity; urobilinuria was found in 30.6% associated with elevated serum bilirubin and alanine aminotransferase; 39.2% had proteinuria, associated with higher blood urea nitrogen, serum bilirubin, aspartate, alanine-transaminase, hematuria, and increased specific gravity.
Severe or moderate liver and renal complications were associated with proteinuria and bilirubinuria.
Urobilinuria was associated with thrombocytopenia and neurological and hepatic dysfunction.
Ketonuria was associated with neurological dysfunctions.
Conclusions.
The most frequent alterations in the urinalysis were bilirubinuria, proteinuria, urobilinuria, and increased specific gravity, related to thrombocytopenia and liver, kidney, and neurological alterations.
American Psychological Association (APA)
Tobón-Castaño, Alberto& Barrera Escobar, Sebastián& Giraldo Castro, Cecilia. 2017. Urinalysis and Clinical Correlations in Patients with P. vivax or P. falciparum Malaria from Colombia. Journal of Tropical Medicine،Vol. 2017, no. 2017, pp.1-12.
https://search.emarefa.net/detail/BIM-1187948
Modern Language Association (MLA)
Tobón-Castaño, Alberto…[et al.]. Urinalysis and Clinical Correlations in Patients with P. vivax or P. falciparum Malaria from Colombia. Journal of Tropical Medicine No. 2017 (2017), pp.1-12.
https://search.emarefa.net/detail/BIM-1187948
American Medical Association (AMA)
Tobón-Castaño, Alberto& Barrera Escobar, Sebastián& Giraldo Castro, Cecilia. Urinalysis and Clinical Correlations in Patients with P. vivax or P. falciparum Malaria from Colombia. Journal of Tropical Medicine. 2017. Vol. 2017, no. 2017, pp.1-12.
https://search.emarefa.net/detail/BIM-1187948
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1187948