HEMATOLOGICAL PARAMETERS IN PEDIATRIC PATIENTS WITH ENTERIC FEVER
DOI:
https://doi.org/10.52764/jms.25.33.4.5Abstract
Objective: To evaluate hematological parameters in pediatric patients with enteric fever admitted to the Department of Child Health at Khyber Teaching Hospital, Peshawar, Pakistan.
Materials and Methods: This was a retrospective chart review of 219 patients admitted to the ward who met our inclusion criteria. The data collected was from September 20, 2022, to September 20, 2023. They were managed in accordance with the department's protocol. Blood culture data for patients with Enteric fever were collected and recorded. Data were analyzed using SPSS-23.
Results: A total of 219 patients participated in this study. The average age was 7.51±3.36 years. Of these patients, 61.6% (n=135) were male, and 38.4% (n=84) were female. Seventy-six percent showed signs of anemia. Regarding hematological parameters and gender, anemia occurred in 87% of females compared to 69% of males, with a significant association (p=0.002). Neutropenia was more common among males (13%) than females, while leucopenia (15.5%), thrombocytosis (12%), thrombocytopenia (25%), bi-cytopenia (20%), and pancytopenia (6%) were more common in females. Anemia (90%) and neutropenia (19%) were most frequent in the youngest age group (1-5 years), with significant links (p=0.000 and 0.014, respectively). Leucopenia (13%) and pancytopenia (6%) were common among the oldest group, aged 11-15 years. Thrombocytopenia (24%) and bi-cytopenia (21%) were prevalent among patients aged 6 to 10 years.
Conclusion: Enteric fever is endemic in our region. Hematologic abnormalities are a feature of enteric fever and can be used as a diagnostic clue for early diagnosis.
Keywords: Enteric Fever, Thrombocytopenia, Anemia, Neutropenia.
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Copyright (c) 2025 abdul khaliq, Zia Muhammad, Hameed Ul Haq, Tabinda Shadab, Syed Mohsin Ali Shah, Afzal Ahmad
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