Informatics in Medicine Unlocked 21 (2020) 100437
Available online 29 September 2020
2352-9148/© 2020 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license
(http://creativecommons.org/licenses/by-nc-nd/4.0/).
Evaluation of the association between malaria infection and electrolyte
variation in patients: Use of Pearson correlation analytical technique
James A. Ndako
a, *
, Joseph A. Olisa
c
, Ogechukwu Y. Ozoadibe
d
, Victor T. Dojumo
b
,
Victor O. Fajobi
b
, Jeremiah A. Akinwumi
b
a
Department of Microbiology, Landmark University, Omu-Aran, Nigeria
b
Department of Medical Laboratory Services, Landmark University Medical Center, Omu-Aran, Nigeria
c
Department of Medical Services, Landmark University Medical Center, Omu-Aran, Nigeria
d
Department of Microbiology, University of Nigeria, Nsukka, Nigeria
A R T I C L E INFO
Keywords:
Malaria
Electrolytes
Plasmodium falciparum
Plasmodium vivax
Pearson’s correlation coeffcient
ABSTRACT
Background: Malaria is a mosquito borne serious infectious disease caused by the protozoan parasites of the
plasmodium species. Plasmodium vivax and P. falciparum are the common causes of malaria infection. Elec-
trolytes play an important role in the normal functioning of human body. Malaria infection has been shown to be
associated with abnormalities in fuids, electrolytes and acid base balance which are capable of enhancing
disease severity. This study evaluates the relationship between malaria infections and electrolytes among ma-
laria infected patients.
Methods: Finger prick blood samples were collected from Two-Hundred (200) malaria-suspected patients. The
Giemsa-stained blood smears were carefully examined according to standard procedure. Relevant information
from each subject was obtained using well-structured questionnaires.
Results: Pearson’s Correlation Coeffcient technique was used to investigate the relationship, and the strength of
association between the variables. The mean bound of patients’ sodium level was observed to fall within the
specifed normal limits of 125 mmol/L – 145 mmol/L; except for positive malaria patients belonging to the MP-
(++) which will fall below the 125 mmol/L (i.e. 126.25 mmol/L – 1.77 mmol/L = 124.48 mmol/L).
Conclusion: This study discovered a signifcant linear relationship based on the Pearson product-moment cor-
relation between creatinine and urea, potassium and chloride, potassium and creatinine, potassium and urea. The
mean sodium and chloride level of positive malaria [MP-(++)] patients were observed to fall outside the normal
limit. It was also found that Plasmodium falciparum showed more alteration in electrolytes parameters than
Plasmodium vivax.
1. Introduction
Malaria is one of the most widespread infectious diseases among
humans and endemic in tropical and subtropical regions with highest
prevalence in Africa and Southeast Asia, It is also one of the major public
health problems in Nigeria, contributing a quarter of the malaria burden
in Africa [1].. Humans are infected by fve Plasmodium species which
are P. falciparum, P. malariae, P. ovale, P. vivax and P. knowlesi.
although malaria infection is mainly caused by P. vivax and P. falcipa-
rum [2]. Electrolytes are minerals present in blood and other body fuids
for proper physiological processes, there optimum range is very essential
for proper physiological activities [3]. Electrolyte imbalances and
mineral disturbances are known to be common clinical manifestations in
several infectious diseases including Malaria. Hyponatraemia, hyper-
kalaemia, hypocalcaemia and hypomagnesaemia usually develops as a
result of infection with Plasmodium [4]. The major cationic extracel-
lular fuid, Sodium (Na) aids the regulation of normal water distribution
and osmotic pressure in several body fuids. Na
+
ion disturbance is a
cause of major health problems [5]. While, Hyponatraemia is a decline
in the amount of Na
+
concentration and considered as an important
clinical manifestation of malaria.
Coincidentally, decreased levels of Na exaggerates the disease
symptoms and results in severe malaria condition in most patients [6].
For all body cells, tissues and organs to accurately function, Potassium
* Corresponding author.
E-mail address: ndako.james@lmu.edu.ng (J.A. Ndako).
Contents lists available at ScienceDirect
Informatics in Medicine Unlocked
journal homepage: http://www.elsevier.com/locate/imu
https://doi.org/10.1016/j.imu.2020.100437
Received 6 July 2020; Received in revised form 22 September 2020; Accepted 25 September 2020