Significance of Hematological Biomarkers in Association to Syphilitic Patients

  • Arun Bahadur Chand KIST Medical College & Teaching Hospital
  • Ajaya Basnet Department of Medical Microbiology, Shi-Gan International College of Science and Technology, Kathmandu, Nepal
  • Lok Bahadur Shrestha School of Medical Sciences and The Kirby Institute, University of New South Wales, Sydney, Australia
  • Bindu Sen Department of Dental, KIST Medical College and Teaching Hospital, Lalitpur, Nepal
  • Anamika Priyadarshinee Department of Pathology, KIST Medical College and Teaching Hospital, Lalitpur, Nepal
  • Isha Amatya Nepal Health Research Council, Kathmandu, Nepal
  • Bijendra Raj Rajbanshi Department of Microbiology, KIST Medical College and Teaching Hospital, Lalitpur, Nepal
DOI: https://doi.org/10.33314/jnhrc.v20i02.4074

Abstract

Background: Venereal syphilis is a sexually transmitted disease, involving pathological activities mediating tissue destruction by extensive tissue necrosis. As such, the goal amongst researchers has been set to the identification of effective laboratory biomarkers that can reflect the broad spectrum of disease and ultimately aid in timely diagnosis and effective treatment of syphilis. This research aimed to study the applications of hematological biomarkers associated with syphilitic patients visiting a tertiary care hospital.
Methods: A retrospective cross-sectional study was conducted in the syphilitic patients attending KIST Medical College and Teaching Hospital, Lalitpur, Nepal. A total of 25 syphilitic patients and 41 non-syphilitic participants were included. The rapid plasma reagin test and Treponema pallidum hemagglutination assay were used for the screening and confirmation of syphilis respectively. The hematological investigation was performed using a hematology analyzer. Statistical Package for Social Science version 17.0 was used for data analysis. A P value <0.05 was considered significant.
Results: Syphilitic patients showed significantly elevated levels of lymphocytes (39.8±11.5) (p=0.025), monocyte (1.9±0.8) (p=0.002), mean corpuscular volume (MCV) (92.6±12.9) (p=0.005), and mean corpuscular hemoglobin (MCH) (31.9±4.6) (p=0.008) and lowered levels of red blood cell (RBC) (4.2±0.3) (p=0.005) and platelets (237.2±628.6) (p=0.048) as compared to the lymphocytes (32.9±11.9), monocyte (0.6±1.2), MCV (83.9±8.8), MCH (34.3±1.5), RBC (4.6±0.7), and platelets (280.9±113.3) of the non-syphilitic participants.
Conclusions: The results showed that the elevated levels of lymphocyte, monocyte, MCV, and MCH and lowered levels of RBC and platelets are highly specific hematological biomarkers for the diagnosis of patients with syphilis.
Keywords: Hematological biomarkers; sexually transmitted disease; syphilis

Published
2022-11-02
How to Cite
ChandA. B., BasnetA., ShresthaL. B., SenB., PriyadarshineeA., AmatyaI., & RajbanshiB. R. (2022). Significance of Hematological Biomarkers in Association to Syphilitic Patients. Journal of Nepal Health Research Council, 20(02), 426-430. https://doi.org/10.33314/jnhrc.v20i02.4074
Issue
Vol. 20 No. 02 (2022): Issue 55 April-June, 2022
Section
Original Article

Copyright (c) 2022 Arun Bahadur Chand, Ajaya Basnet, Lok Bahadur Shrestha, Bindu Sen, Anamika Priyadarshinee, Isha Amatya, Bijendra Raj Rajbanshi

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