RESUMO
Background: Malaria is a mosquito-borne public health problem which alters the blood counts, haptoglobin level and serum lactate dehydrogenase (sLDH) activity of the infected individuals. Some of the alterations are associated risk factors in malaria pathology. This study aims at elucidating changes in blood counts, sLDH activity and haptoglobin level in malaria infected subjects seen in a Tertiary Health Institution in Nnewi, as search for associated risk factors in malaria pathology.Methods: This cross sectional study enrolled 270 age matched subjects between 18-65 years. The test group (200) who tested positive to P. falciparium was placed into two groups based on their parasite counts with cut-off of ≥1000 parasites x 109/L. Group one (100) had counts above the cut-off and group two (100) below. The control (70) was aparasitemic. The demographic data were noted and 4mls of blood drawn. 2mls in K3EDTA was for FBC testing using Mythic 22 hematology analyzer, and remaining dispensed into plain tubes was for sLDH assay by kinetic method and haptoglobin by ELISA technique.Results: The HCT, Hb, RBC and Platelet count of test were progressively significantly lowered (p=0.001) compared to control, with an intra-significant difference among the 3 groups (p<0.05), also the parameters were found to have an inverse significant relationship (p=0.001) to the parasite counts. This trend was also seen with haptoglobin while reverse was the case with LDH activity which rather increased significantly (p = 0.000) at opposite direction as parasite density increases.Conclusions: This study show that the degree of intravascular haemolysis is directly influenced by the parasite density, this portends that high endemicity and perennial parasiteamia in the study area could cause chronic anaemia and thrombocytopenia in the population studied.
RESUMO
The effects of Thonningea sanguinea Vahl. root extracts were tested against Plasmodium berghei and Plasmodium chabaudi, acetic acid induced abdominal constriction and egg albumin induced paw oedema in rodents. Eighteen mice assigned to 3 groups of 6 animals each were infected with P. berghei (NK 65 chloroquine sensitive strain). Group I was treated with 300 mg/kg bw T. sanguinea, group II with 5mg/kg bw chloroquine phosphate (standard) and group III with 20ml/kg bw normal saline (control). Another set of eighteen mice were also inoculated with P. chabaudi and treated similarly. P. berghei was significantly suppressed by the extract over the time course of the study with mice survival periods of 36, 20 and 16 days for chloroquine, plant extract and normal saline treatments respectively. T. sanguinea produced some initial suppression of parasites but subsequently resurgence in parasitaemia was observed in the case of P. chabaudi infected animals. Mice survival periods with the later were 24 days (CQ), 22 days (extract) and 10 days (normal saline). Whole body weights significantly decreased in P. chabaudi but not P. berghei infected mice. Packed Cell Volume significantly (p<0.05) decreased with both models irrespective of the treatments. The extract had a minimal (10.89%) analgesic effect and had no anti-inflammatory activity. T. sanguinea though effective only in the P. berghei model could still be further investigated.