OBJECTIVE: to compare the disturbances in blood flow and biochemistry parameters during dengue versus
malaria.
METHOD: This was a retrospective descriptive and analytical study, over a 4-year period from January 1, 2015
to December 31, 2018.
RESULT: A total of 43 dengue and 43 malaria cases were collected. The most represented age group was 20 to
29 in both groups. The sex ratio was 1 in both groups. The majority of patients came from urban areas. Anemia,
leukocytosis, decreased hematocrit, increased creatinine and blood urea were statistically significantly associated
with malaria, while leukopenia, thrombocytopenia, increased ALAT were associated with dengue. Malaria
patients were 46 times more likely to have reduced hematocrit (OR=46.15), 16 times more likely to have anemia
(OR=16.37), 6 times more likely to have increased creatinine (OR=6.71), 7 times more likely to have increased
urea (OR=7.2) and 4 times more likely to have acidosis (OR=4.06) compared to dengue patients. Patients with
dengue fever were 5 times more likely to have hypochloremia (OR=5.27) than patients with malaria.
CONCLUSION: The clinician will need to think of malaria in the face of anemia, leukocytosis, acidosis,
increased creatinine and urea. He will have to think about dengue before thrombocytopenia, leukopenia,
hypochloremia and an increase in ALAT.
comparison, dengue, malaria, parameters, blood count