Evaluation of some Hematological and Inflammatory Factors in Iraqi Patients Suffering from COVID-19 and Type 2 Diabetes Mellitus

Qusay Abdulwahab Khalaf, Khetam Habeeb Rasool, Eman Natiq Naji, Mohamad Merhi Nasser
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Abstract

COVID-19 is a newly recognized sickness spreading rapidly worldwide and causing many consequences and deaths. Diabetes Mellitus(DM) is suggested as a risk factor that contributes to the severity and mortality of COVID-19. The present study investigates the levels of Lymphocytes, Neutrophils, C-reactive protein, D-dimer, and ferritin, in COVID-19 patients who suffer from type 2 diabetes mellitus (T2DM) and those without T2DM. 80 participants enrolled in this study, distributed into 4 groups; Group 1 (G1) included 20 patients with COVID-19 and T2DM; Group 2 (G2) comprised of 20 patients with COVID-19; Group 3(G3) included T2DM patients. In addition, 20 individuals were taken as a healthy control group. The patient samples were obtained from Ibn-AlKhateeb Hospital /Baghdad in the period between February to April 2022. A hematology automated device was utilized to count lymphocytes and neutrophils, while a biochemical automated device was employed to measure D-dimer, CRP, and ferritin. Regarding the blood immune cells, there was a significant decrease in lymphocyte counts and a significant increase in neutrophil counts in G1 and G2 groups compared to the healthy control group. The serum levels of the studying markers(CRP, D-dimer, and ferritin )were increased in the G1, G2, and G3 compared to the control group. Furthermore, patients in the G1 group had higher levels of these markers than in other groups, which are considered prognostic markers for COVID-19 infection.
伊拉克新冠肺炎合并2型糖尿病患者血液学及炎症指标的评价
COVID-19是一种新认识的疾病,在世界范围内迅速传播,造成许多后果和死亡。糖尿病(DM)被认为是导致COVID-19严重程度和死亡率的危险因素。本研究调查了新冠肺炎合并2型糖尿病(T2DM)和非T2DM患者的淋巴细胞、中性粒细胞、c反应蛋白、d -二聚体和铁蛋白水平。80名受试者入组,分为4组;1组(G1): 20例合并T2DM患者;第二组(G2): 20例新冠肺炎患者;第三组(G3)为T2DM患者。另外选取20人作为健康对照组。患者样本于2022年2月至4月期间从Ibn-AlKhateeb医院/巴格达获得。血液学自动化装置用于计数淋巴细胞和中性粒细胞,生化自动化装置用于测量d -二聚体、CRP和铁蛋白。血液免疫细胞方面,与健康对照组相比,G1和G2组淋巴细胞计数明显减少,中性粒细胞计数明显增加。与对照组相比,G1、G2和G3组研究标志物(CRP、d -二聚体和铁蛋白)的血清水平升高。此外,G1组患者的这些标志物水平高于其他组,这些标志物被认为是COVID-19感染的预后标志物。
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