Tuberculosis As A Cause Of Change In Hematological Parameters In A Tertiary Care Hospital
Tuberculosis As A Cause Of Change In Hematological Parameters
DOI:
https://doi.org/10.70284/njirm.v6i4.934Keywords:
sedimentation rate, leukocytosis, PBF, Pulmonary Tuberculosis and Zeihl Neelson stainAbstract
Background & Aim: Hematopoietic system is another organ seriously affected by tuberculosis. The hematological changes sometimes act as useful factors providing a clue to diagnosis, assessing the prognosis, indicating the complication of underlying infection as well as therapy and response to therapy. Aim is to study the various hematological parameters in Z-N positive pulmonary tuberculosis patients. Methodology & Results: Present study was conducted on hematological parameters in pulmonary tuberculosis patients in the department of Pathology in MM institute of Medical Science and Research, Mullana, Ambala. The study was conducted for a period of one year from March 2013 to march 2014. Total numbers of 80 subjects were selected of Z-N positive and changes were compared with normal hematological parameters. The testing protocol was followed in the hospital laboratory. Result: showed decreased values of hemoglobin (Hb), red blood cell (RBC), packed cell volume (PCV), mean cell volume (MCV) and mean cell hemoglobin (MCH) while increased value observed in total leukocyte count (TLC), mean cell hemoglobin concentration (MCHC), erythrocyte sedimentation rate (ESR), and platelet count. Anemia noticed in 59% patients, including mild, moderate and severe. In peripheral blood film examination, microcytic hypochromic blood picture was most common. Conclusion: Various hematological abnormalities have been demonstrated in patients with pulmonary tuberculosis. These all parameters can be used as indicator in assessment of response to therapy. [Bala J NJIRM 2015; 6(4):31-35]
References
2. Zaman K., Tuberculosis: A global health problem. J Health Popul Nutr. 2010;28(2):111-3.
3. Gupta KB., Challenges in diagnosis and treatment of latent tuberculosis infection. Indian J Tuberc. 2012;1:(59): 1-5.
4. Bisht D., Can newer diagnostic microbiological assay guide early tuberculosis management. Indian J Tuberc. 2011;1(58):51-3.
5. Ananthnaraya R, Paniker’s CKJ. Mycobacterium I: Tuberculosis. Ed textbook of microbiology, 8th ed. Universities press India private limited 3-6-747/A and 3-6-754 /1, Himayatnagar, Hyderabad 500029 (A.P.) india: 2009;347-58.
6. Charles M, Arthur B, Neel H. The haematological and biochemical changes in severe pulmonary tuberculosis.An Int J Med. 1989;73(3):1151-9.
7. Hungund BR, Sangolli SS,Bannur HB, Malur PR, Pilli GS., Blood and bone marrow findings in tuberculosis in adults -A cross sectional study. AI Ameen J Med Sci. 2012;5(4):362-6.
8. Obaid MA, Shammery HG., Studying some hematological changes in patients with pulmonary tuberculosis in Babylon governorate. Med J of Babylon. 2011;8(4):608-17.
9. Vijayan VK, Das S., Pulmonary tuberculosis In, Suredra Sharma (ed). Tuberculosis 1st edition. New Delhi, Jaypee Publishers. 2009; 217-27.
10. Lee S W, Young K, Young Y, Sang U, Sang M., The Prevalence and Evolution of Anemia Associated with Tuberculosis. J Korean Med Sci. 2006;21:(16):1028-32.
11. Kannan S, krishnaveni, senthil kumar., Hematological observation in tuberculosis and their response to the treatment. IJPI’S J of hosand clin pharm. 2011;1:(4):19-24:ISSN 2229-6921.
12. Sinha KNP, Krishnamurti S and Chatterji JC. Disseminated tuberculosis and abnormal haemopoitic response. Ind. J. tub. 1977;XXIV(3):110-15.
13. Chakarbarti AK, Dutta AK, Dasgupta B, Ganguli D, Ghosal AG., Haematological changes in disseminated tuberculosis. Ind J Tub. 1995;42:(1):165-68.
14. Mert A, Billir M, Tabak f, Ozaras R, Senturk H. miliary tuberculosis: clinical manifestations, diagnosis and outcome in 38 adults. 2001;6(3):217-24.
15. Hussain SF, Irfan M, Abbasi M, Anwer SS, Davidson S, Haqqee Ret al. Clinical characteristics of 110 miliary tuberculosis patients from a low HIV prevalence country. Int J Tuberc Lung Dis. 2004;8(4):493-9.
16. Nkoghe D, Voglozin M, Toung MM, NgoranK. Haematological abnormalities associated with pulmonary tuberculosis in persons living with human immunodeficiency virus infection in cote d’lvoire. Med Trop (Mars). 2010;70(4):415-6.
17. Yaranal PJ, ToolhallyU, SadulaGH. Hematological Profile in Pulmonary Tuberculosis. Int Jof Health and Rehabilitation Sci. 2013; 2:(1):50-55.
18. Lewis SM. Reference range and normal values. In: Lewis SM, Bain BJ, Bates I, editors. Dacie and Lewis practical Hematology. 10th ed.Philadelphia: Elsevier; 2006:16-7.
19. Bain B.J . Lewis SM .Preparation and Staining Methods for Blood and Bone Marrow films . In:. Lewis SM ,Bain B.J ,Bates I , editors ,Dacie and Lewis Practical Hematology. 9th sd . Philadelhia : Elsevier 2001; 55-56 : 19