The Effect of Malaria Disease on Liver Function in Children Below 5 Years of Age

R. A. Ikpeama, C. Okeke, B. Okolonkwo, C. U. Nyenke, C. O. Ezenwaka
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Abstract

Malaria continues to be a major global health concern in tropical regions, especially affecting children between the ages of 1 and 5. The aim of this study is to assess the influence of malaria on hepatocellular function in this vulnerable age group. The enrollment of 582 randomly selected children was approved ethically, and parental consent was obtained. Of these, 396 were in the test group (who tested positive for malaria), and 186 were in the control group (apparently healthy). Giemsa-stained thin and thick films were used to confirm the diagnosis of malaria, and serum markers such as SGOT, SGPT, ALP, and gamma glutamyl transferase were used to assess hepatocellular function while the malaria diagnosis was made. As further markers of liver health, albumin and protein levels were evaluated. The findings showed that, in comparison to the control group, children with malaria parasitemia had statistical significantly higher levels of ALP, SGOT, SGPT, and Gamma Glutamyl Transferase as well as lower levels of total protein and albumin (p < 0.05). This suggests a significant effect on liver function in children with malaria, ages 1 to 5. Finally, our research highlights the connection between liver impairment in young children and malaria parasitemia. To improve early detection and management of liver-related complications in affected children, we recommend adding hepatic function assessments to routine evaluations, especially in malaria-endemic areas.
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疟疾对 5 岁以下儿童肝功能的影响
疟疾仍然是热带地区全球关注的主要健康问题,尤其影响 1 到 5 岁的儿童。本研究旨在评估疟疾对这一脆弱年龄组儿童肝细胞功能的影响。随机选取的 582 名儿童的入选获得了伦理方面的批准,并征得了家长的同意。其中,396 名为检测组(疟疾检测呈阳性),186 名为对照组(表面健康)。采用革兰氏染色的薄片和厚片来确诊疟疾,在确诊疟疾的同时,采用 SGOT、SGPT、ALP 和γ 谷氨酰转移酶等血清指标来评估肝细胞功能。作为肝脏健康的进一步指标,白蛋白和蛋白质水平也得到了评估。研究结果表明,与对照组相比,患有疟疾寄生虫病的儿童的谷丙转氨酶(ALP)、谷草转氨酶(SGOT)、谷丙转氨酶(SGPT)和谷草转氨酶(Gamma Glutamyl Transferase)水平明显较高,而总蛋白和白蛋白水平则较低(P < 0.05)。这表明,这对 1 至 5 岁的疟疾患儿的肝功能有重大影响。最后,我们的研究强调了幼儿肝功能损害与疟疾寄生虫血症之间的联系。为了提高受影响儿童肝脏相关并发症的早期发现和管理,我们建议在常规评估中增加肝功能评估,尤其是在疟疾流行地区。
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