Journal of Applied Biosciences (J. Appl. Biosci.) [ISSN 1997 – 5902]
Volume 76: 6425 – 6432 Published April 30, 2014.
L’haptoglobine chez les enfants atteints de paludisme grave a Plasmodium falciparum de 0 à 15 ans : relations avec l’âge, la parasitémie et le taux d’hémoglobine.
Hien S2, Angbo K MA3, Dasse SR4, Yeboah Or5, N’guessan K6, Kouacou APV7, Sombo MF1
1- Professeur Titulaire d’Immunologie, UFR Sciences Médicales UFHB Cocody, Chef du Service d’Immunologie et d’Hématologie, CHU Cocody.
2- Attaché de Recherches en Immunologie, UFR Sciences Médicales UFHB Cocody
3- Attachée de Recherches en Biochimie Médicale, UFR Sciences Médicales UFHB Cocody
4- Maitre Assistant en Immunologie, UFR Sciences Médicales UFHB Cocody
5- Interne des Hôpitaux au Service d’Immunologie et d’Hématologie du CHU de Cocody
6- Assistant Chef de Bioclinique en Immunologie, UFR Sciences Médicales UFHB Cocody
7-Assistante Chef de Bioclinique en Immunologie, UFR Sciences Médicales UFHB Cocody
Correspondance : Dr. HIEN Sansan, B.P. V166 Abidjan, UFR Sciences Médicales, Laboratoire d’Immunologie, CHU Cocody. République de Côte d’Ivoire. Tél : (225) 40 28 76 53, (225) 07 44 30 36,
E-mail : hien_sansan73@yahoo.fr
2- Attaché de Recherches en Immunologie, UFR Sciences Médicales UFHB Cocody
3- Attachée de Recherches en Biochimie Médicale, UFR Sciences Médicales UFHB Cocody
4- Maitre Assistant en Immunologie, UFR Sciences Médicales UFHB Cocody
5- Interne des Hôpitaux au Service d’Immunologie et d’Hématologie du CHU de Cocody
6- Assistant Chef de Bioclinique en Immunologie, UFR Sciences Médicales UFHB Cocody
7-Assistante Chef de Bioclinique en Immunologie, UFR Sciences Médicales UFHB Cocody
Correspondance : Dr. HIEN Sansan, B.P. V166 Abidjan, UFR Sciences Médicales, Laboratoire d’Immunologie, CHU Cocody. République de Côte d’Ivoire. Tél : (225) 40 28 76 53, (225) 07 44 30 36,
E-mail : hien_sansan73@yahoo.fr
Original submitted in on 25th January 2014. Published online at www.m.elewa.org on 30th April 2014.
http://dx.doi.org/10.4314/jab.v76i1.9
RESUME :
Objectifs : Cette étude avait pour objectifs d’évaluer l’haptoglobine chez les enfants âgés de 0 à 15 ans atteints de paludisme grave à Plasmodium falciparum, et de rechercher les relations entre cette protéine de l’inflammation avec l’âge, la densité parasitaire et le taux d’hémoglobine.
Méthodologie et résultats : Il s’agissait d’une étude prospective transversale chez 70 enfants atteints de paludisme grave à Plasmodium falciparum dont l’âge variait entre 0 et 15 ans recrutés aux services de Pédiatrie des Centres Hospitaliers et Universitaires (CHU) de Cocody et de Yopougon (Abidjan). Les résultats ont montré qu’au cours du paludisme grave à Plasmodium falciparum chez les enfants, on notait une hypohaptoglobinémie chez la majorité des malades (69,44 à 88,2%). Le taux moyen d’haptoglobine est plus bas chez les enfants de 0 à 5 ans, traduisant une hémolyse plus importante. Le taux moyen de cette protéine était proportionnel à l’âge et au taux moyen d’hémoglobine, mais inversement proportionnel à la densité parasitaire moyenne.
Conclusion et application des résultats : Cette étude a montré qu’au cours du paludisme grave à .Plasmodium falciparum chez les enfants, le taux d’haptoglobine était associé à l’âge, à la parasitémie et au taux d’hémoglobine. Dans les pays en développement où l’anémie palustre est cause du décès de milliers d’enfants de moins de 5 ans par an, l’haptoglobine pourrait être un excellent marqueur pour le suivi des états inflammatoires et de la réémission des hémolyses intra vasculaires en pratique pédiatrique.
Méthodologie et résultats : Il s’agissait d’une étude prospective transversale chez 70 enfants atteints de paludisme grave à Plasmodium falciparum dont l’âge variait entre 0 et 15 ans recrutés aux services de Pédiatrie des Centres Hospitaliers et Universitaires (CHU) de Cocody et de Yopougon (Abidjan). Les résultats ont montré qu’au cours du paludisme grave à Plasmodium falciparum chez les enfants, on notait une hypohaptoglobinémie chez la majorité des malades (69,44 à 88,2%). Le taux moyen d’haptoglobine est plus bas chez les enfants de 0 à 5 ans, traduisant une hémolyse plus importante. Le taux moyen de cette protéine était proportionnel à l’âge et au taux moyen d’hémoglobine, mais inversement proportionnel à la densité parasitaire moyenne.
Conclusion et application des résultats : Cette étude a montré qu’au cours du paludisme grave à .Plasmodium falciparum chez les enfants, le taux d’haptoglobine était associé à l’âge, à la parasitémie et au taux d’hémoglobine. Dans les pays en développement où l’anémie palustre est cause du décès de milliers d’enfants de moins de 5 ans par an, l’haptoglobine pourrait être un excellent marqueur pour le suivi des états inflammatoires et de la réémission des hémolyses intra vasculaires en pratique pédiatrique.
Mots clés : Paludisme grave à Plasmodium falciparum, haptoglobine, enfants.
ABSTRACT :
Haptoglobin in children with severe falciparum malaria, aged from 0 to 15 years old: Relationships according to age, parasitemia and hemoglobin rate.
Objectives: This study was assaying haptoglobin in children aged 0-15 years with severe Plasmodium falciparum malaria and the relationship between this protein of inflammation according to age, parasitemia and hemoglobin rate.
Methodology and results: It was a prospective study in 70 children with severe Plasmodium falciparum malaria aged between 0 and 15 years recruited in the services of Pediatric Hospitals and University (CHU) of Cocody and Yopougon (Abidjan). COBAS INTEGRA 400 turbidimetric test was used for the measurement of Haptoglobin in human serum. Anti-Haptoglobin antibodies when mixed with samples containing Haptoglobin, formed insoluble complexes. These complexes caused an absorbance change, dependent upon the Haptoglobin concentration of the patient sample that could be quantified by comparison from a calibrator of know Haptoglobin concentration. The results showed that during severe falciparum malaria, most of children (69.44 to 88.2%) had hypohaptoglobinemia. The average rate of Haptoglobin was lower in children 0-5 years, reflecting a higher hemolysis. The average rate of this protein was proportional to age and mean hemoglobin, but inversely proportional to the mean parasite.
Conclusion and application of results: This study showed that in children with severe Plasmodium falciparum malaria, there was relationship between Haptoglobin levels and age, parasitemia and hemoglobin rate. In developing countries where malaria anemia causes death of many children every year, Haptoglobin could be an excellent marker for medical aftercare of inflammatory diseases and intravascular hemolysis remission in pediatric practice.
Methodology and results: It was a prospective study in 70 children with severe Plasmodium falciparum malaria aged between 0 and 15 years recruited in the services of Pediatric Hospitals and University (CHU) of Cocody and Yopougon (Abidjan). COBAS INTEGRA 400 turbidimetric test was used for the measurement of Haptoglobin in human serum. Anti-Haptoglobin antibodies when mixed with samples containing Haptoglobin, formed insoluble complexes. These complexes caused an absorbance change, dependent upon the Haptoglobin concentration of the patient sample that could be quantified by comparison from a calibrator of know Haptoglobin concentration. The results showed that during severe falciparum malaria, most of children (69.44 to 88.2%) had hypohaptoglobinemia. The average rate of Haptoglobin was lower in children 0-5 years, reflecting a higher hemolysis. The average rate of this protein was proportional to age and mean hemoglobin, but inversely proportional to the mean parasite.
Conclusion and application of results: This study showed that in children with severe Plasmodium falciparum malaria, there was relationship between Haptoglobin levels and age, parasitemia and hemoglobin rate. In developing countries where malaria anemia causes death of many children every year, Haptoglobin could be an excellent marker for medical aftercare of inflammatory diseases and intravascular hemolysis remission in pediatric practice.
Key words: Severe falciparum malaria, Haptoglobin, children.
FULL PAPER [PDF AVAILABLE HERE]
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My {coder|programmer|developer} is trying to {persuade|convince} me to
move to .net from PHP. I have always disliked the idea because of the {expenses|costs}.
But he’s tryiong none the less. I’ve been using {Movable-type|WordPress} on {a number of|a variety of|numerous|several|various} websites for about a year and
am {nervous|anxious|worried|concerned} about switching to another platform.
I have heard {fantastic|very good|excellent|great|good} things about blogengine.net.
Is there a way I can {transfer|import} all my wordpress {content|posts} into it?
{Any kind of|Any} help would be {really|greatly}
appreciated!|
{Hello|Hi|Hello there|Hi there|Howdy|Good day}! I could have sworn I’ve
{been to|visited} {this blog|this web site|this website|this site|your blog} before but after {browsing
through|going through|looking at} {some of the|a few of the|many of the} {posts|articles} I realized
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{bookmarking|book-marking} it and checking back {frequently|regularly|often}!|
{Terrific|Great|Wonderful} {article|work}! {This is|That is} {the
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on {the {seek|search} engines|Google} for {now
not|not|no longer} positioning this {post|submit|publish|put
up} {upper|higher}! Come on over and {talk over with|discuss with|seek advice from|visit|consult with}
my {site|web site|website} . {Thank you|Thanks} =)|
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I hope to give something back and {help|aid} others
like you {helped|aided} me.|
{Hi|Hello|Hi there|Hello there|Howdy|Greetings}, {I think|I believe|I do believe|I do think|There’s no doubt that} {your site|your website|your web site|your blog} {might be|may be|could be|could
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{When I|Whenever I} {look at your|take a look at
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{it has|it’s got} some overlapping issues. {I just|I simply|I merely} wanted
to {give you a|provide you with a} quick heads up! {Other
than that|Apart from that|Besides that|Aside from that},
{fantastic|wonderful|great|excellent} {blog|website|site}!|
{A person|Someone|Somebody} {necessarily|essentially} {lend a hand|help|assist} to make {seriously|critically|significantly|severely} {articles|posts} {I would|I might|I’d} state.
{This is|That is} the {first|very first} time I frequented your {web
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to now}? I {amazed|surprised} with the {research|analysis} you made to {create|make} {this
actual|this particular} {post|submit|publish|put up} {incredible|amazing|extraordinary}.
{Great|Wonderful|Fantastic|Magnificent|Excellent} {task|process|activity|job}!|
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{I am hoping|I hope|I’m hoping} {to give|to offer|to provide|to present} {something|one thing} {back|again} and {help|aid}
others {like you|such as you} {helped|aided} me.|
{Hello|Hi|Hello there|Hi there|Howdy|Good day|Hey there}!
{I just|I simply} {would like to|want to|wish to} {give you a|offer you a} {huge|big} thumbs up {for
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{I will be|I’ll be|I am} {coming back to|returning to}
{your blog|your site|your website|your web site} for more soon.|
I {always|all the time|every time} used to {read|study} {article|post|piece of writing|paragraph} in news papers but now as
I am a user of {internet|web|net} {so|thus|therefore} from now I am using net for {articles|posts|articles or reviews|content},
thanks to web.|
Your {way|method|means|mode} of {describing|explaining|telling} {everything|all|the whole thing} in this {article|post|piece of writing|paragraph}
is {really|actually|in fact|truly|genuinely} {nice|pleasant|good|fastidious}, {all|every
one} {can|be able to|be capable of} {easily|without difficulty|effortlessly|simply} {understand|know|be aware of} it, Thanks a lot.|
{Hi|Hello} there, {I found|I discovered} your {blog|website|web site|site} {by
means of|via|by the use of|by way of} Google {at the same time as|whilst|even as|while}
{searching for|looking for} a {similar|comparable|related} {topic|matter|subject}, your {site|web site|website}
{got here|came} up, it {looks|appears|seems|seems to be|appears to be
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{Hello|Hi} there, {simply|just} {turned into|became|was|become|changed into} {aware of|alert to} your {blog|weblog} {thru|through|via} Google, {and found|and
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{I’m|I am} {gonna|going to} {watch out|be careful} for brussels.
{I will|I’ll} {appreciate|be grateful} {if you|should you|when you|in the
event you|in case you|for those who|if you happen to} {continue|proceed} this {in future}.
{A lot of|Lots of|Many|Numerous} {other folks|folks|other people|people} {will be|shall be|might be|will
probably be|can be|will likely be} benefited {from your|out
of your} writing. Cheers!|
{I am|I’m} curious to find out what blog {system|platform} {you have been|you happen to be|you are|you’re} {working with|utilizing|using}?
I’m {experiencing|having} some {minor|small} security {problems|issues} with my latest
{site|website|blog} and {I would|I’d} like to find something more {safe|risk-free|safeguarded|secure}.
Do you have any {solutions|suggestions|recommendations}?|
{I am|I’m} {extremely|really} impressed with your writing skills {and also|as well as} with the layout on your {blog|weblog}.
Is this a paid theme or did you {customize|modify} it yourself?
{Either way|Anyway} keep up the {nice|excellent} quality writing, {it’s|it is} rare to see a {nice|great}
blog like this one {these days|nowadays|today}.|
{I am|I’m} {extremely|really} {inspired|impressed} {with your|together with your|along with your}
writing {talents|skills|abilities} {and also|as {smartly|well|neatly}
as} with the {layout|format|structure} {for your|on your|in your|to
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{Either way|Anyway} {stay|keep} up the {nice|excellent} {quality|high quality}
writing, {it’s|it is} {rare|uncommon} {to peer|to
see|to look} a {nice|great} {blog|weblog} like this one {these
days|nowadays|today}..|
{Hi|Hello}, Neat post. {There is|There’s} {a problem|an issue} {with your|together with your|along
with your} {site|web site|website} in {internet|web} explorer, {may|might|could|would} {check|test} this?
IE {still|nonetheless} is the {marketplace|market} {leader|chief} and {a large|a good|a big|a huge}
{part of|section of|component to|portion of|component of|element
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{I’m|I am} not sure where {you are|you’re} getting your {info|information}, but {good|great} topic.
I needs to spend some time learning {more|much more} or understanding more.
Thanks for {great|wonderful|fantastic|magnificent|excellent}
{information|info} I was looking for this {information|info} for my mission.|
{Hi|Hello}, i think that i saw you visited my {blog|weblog|website|web site|site}
{so|thus} i came to “return the favor”.{I am|I’m} {trying to|attempting to} find things to {improve|enhance} my {website|site|web
site}!I suppose its ok to use {some of|a few of} your ideas!!\