Evaluation of Haematological Parameters in Tuberculosis Patients Attending Infectious Diseases Hospital, Kano, Nigeria

Authors

  • Kayode, E. Department of Medical Laboratory Science, Faculty of Allied Health Sciences, Bayero University, Kano, P.M.B. 3011, Kano – Nigeria Author
  • Danladi, S. B. Department of Medical Laboratory Science, Faculty of Allied Health Sciences, Bayero University, Kano, P.M.B. 3011, Kano – Nigeria Author
  • Sule, H. Department of Medical Laboratory Science, Faculty of Allied Health Sciences, Bayero University, Kano, P.M.B. 3011, Kano – Nigeria Author
  • Mustapha, A. H. Department of Pharmacology and Therapeutics, Bayero University, Kano – Nigeria Author
  • Ado, M. D. Department of Haematology, Bayero University, Kano – Nigeria Author
  • Onuigwe, F. U. Department of Haematology, School of Medical Laboratory Sciences, Usmanu Danfodiyo University, Sokoto – Nigeria Author

DOI:

https://doi.org/10.47430/ujmr.25102.003

Keywords:

Biomarkers, Haematology, Haemostasis, Infectious diseases, Mycobacterium tuberculosis

Abstract

Mycobacterium tuberculosis infection (MTB) is a global health concern, with Nigeria being among the countries with a high burden of the disease. A study aimed to evaluate haematologic and haemostatic parameters in subjects with MTB attending the Infectious Diseases Hospital, Kano, Nigeria. A cross-sectional design with a consecutive sampling method found significant differences in haematological and coagulation profiles between MTB subjects and non-MTB controls. TB subjects showed a statistically significant reduction in haemoglobin, haematocrit, and RBC count, coupled with increased MCV and MCHC, compared with the control group, indicating anaemia and altered red blood cell indices. WBC count variation was insignificant, but differential leucocyte parameters (lymphocytes, monocytes, and granulocytes) varied significantly. Additionally, subjects with MTB infection also displayed prolonged Prothrombin Time (PT) and Activated Partial Thromboplastin Time (aPTTK), suggesting perturbed coagulation pathways. These findings accentuate the impact of MTB infection on haematologic and haemostatic systems, highlighting potential diagnostic and prognostic markers.

References

Abaje, I. B., Christopher, N., & Garba, A. (2014). Is the changing rainfall patterns of Kano State and its adverse impacts an indication of climate change? European Scientific Journal, 10, 192–206.

Abiodun, A. A., Balogun, O. M., & Fawole, O. R. (2007). Etiology, clinical features and treatment outcome of intrauterine adhesion in Ilorin, Central Nigeria. West African Journal of Medicine, 26, 298–301. DOI: https://doi.org/10.4314/wajm.v26i4.28330

Abraham, H., & Rachel, S. B. (2024). Mechanisms of hemostasis. In N. A., Guzzetta, D. F., & Cassandra, D. J. (Eds.), Hemostasis management of the pediatric surgical patient (pp. 3–21). Academic Press. DOI: https://doi.org/10.1016/B978-0-323-90459-9.00018-9

Adewole, P. D., Ogundipe, T. D., Alabi, S. O., & Nuhu, A. (2024). Haematological parameter among drug resistant tuberculosis patients in Ibadan. African Health Science, 24(1), 10–15. DOI: https://doi.org/10.4314/ahs.v24i1.3

Aditya, S. K., Naresh, G., Sandeep, G., & Harmanjit, S. H. (2017). A study of haematological and haemostasis parameters and hypercoagulable state in tuberculosis patients in Northern India and the outcome with anti-tubercular therapy. Journal of Clinical Diagnosis and Research, 11, 09–13.

Ajayi, O. I., Famodu, A., Onyemairo, J., Iyere, C., Onaghise, V., & Adogun, C. (2005). Haemorrheological alterations in Nigerian pulmonary tuberculosis patients [Paper presentation]. 15th European Congress of Clinical Microbiology and Infectious Diseases, Copenhagen, Denmark.

Akpan, P. A., Akpotuzor, J. O., & Osim, E. E. (2018). Haemostatic indices as markers for monitoring pulmonary tuberculosis treatment. Nigerian Journal of Physiological Sciences, 33(1), 31–35.

Al-muhammadi, M. O., & Al-Shammery, H. G. (2011). Studying some haematological changes in patients with pulmonary tuberculosis in Babylon Governorate. Medical Journal of Babylon, 8(4), 608–617.

Atiegha, C., Suama, P., & Ernest, M. (2020). Changes in some haematological parameters of female patients on directly observed treatment short-course (DOTS) in a tuberculosis hospital in Bayelsa State. Nigeria Journal of Medical Laboratory Science, 30(3), 59–69.

Awodu, O. A., Ajayi, I. O., & Famodu, A. A. (2007). Haemorrheological variables in Nigerian pulmonary tuberculosis patients undergoing therapy. Clinical Hemorrheology and Microcirculation, 36(4), 267–275.

Bello, U. L., Ibrahim, A. H., Ladan, A. M., Yunusa, U., & Yaro, N. A. (2024). Pattern and distribution of open defecation practices in Kano State, Nigeria. Journal of Institute of Africa Higher Education Research and Innovation (IAHERI), 1(1). DOI: https://doi.org/10.59479/jiaheri.v1i001.40

Charles, A. P., & Geraint, P. D. (2021). The treatment of tuberculosis. Clinical Pharmacology and Therapeutics, 110(6), 1455–1466. DOI: https://doi.org/10.1002/cpt.2261

Chesbrough, M. (2009). District laboratory practice in tropical countries, part 2 (2nd ed.). Cambridge University Press.

Colling, M. E., Tourdot, B. E., & Kanthi, Y. (2021). Inflammation, infection and venous thromboembolism. Circulation Research, 128(12), 2017–2036. DOI: https://doi.org/10.1161/CIRCRESAHA.121.318225

Delia, G., Graeme, M., Bruno, B. A., Aliumuddin, Z., & Shui, S. L. (2025). Insights from the 2024 WHO Global Tuberculosis Report- More comprehensive action, innovation, and investments required for achieving WHO End TB Goals. International Journal of Infectious Diseases, 150, 107325. DOI: https://doi.org/10.1016/j.ijid.2024.107325

Ebrahim, O., Folb, P. I., & Robson, J. P. (1995). Blunted erythropoietin response to anaemia in tuberculosis. European Journal of Haematology, 55, 251–254. DOI: https://doi.org/10.1111/j.1600-0609.1995.tb00267.x

Erster, A. J., Caro, J., Miller, O., & Silver, R. (1980). Plasma erythropoietin in health and disease. Annals of Clinical Laboratory Science, 10, 250–257.

Gabriel, E. A., Miguel, R., Selma, C. S., Marimar, S., Laura, B., Sara, E. E., & Francisco, A. C. (2025). A noval IKBKB varianr (c.1705>T) is associated with immune dysregulation and disseminated tuberculosis. Frontiers Immunology, 16, 1541899. DOI: https://doi.org/10.3389/fimmu.2025.1541899

Gomez, K., & McVey, J. H. (2015). Normal haemostasis. In A. V. Hoffbrand, D. Catovsky, E. G. D. Tuddenham, & A. R. Green (Eds.), Postgraduate haematology (pp. 676–698). John Wiley & Sons, Ltd. DOI: https://doi.org/10.1002/9781118853771.ch36

Hazrati, A., Malekpour, K., Soudi, S., & Hashemi, S. M. (2022). Mesenchymal stromal/stem cells and their extracellular vesicles application in acute and chronic inflammatory liver diseases: Emphasizing on the anti-fibrotic and immunomodulatory mechanisms. Frontiers in Immunology, 13, 865888. DOI: https://doi.org/10.3389/fimmu.2022.865888

Ibeneme, E. O., Asuquo, A. E., & Abia-Bassey, L. N. (2009). Prevalence of pulmonary tuberculosis and HIV coinfection among prisoners in Calabar, Nigeria. Mary Slessor Journal of Medicine, 9(2), 10–18.

Ifeyinwa, M. O., Aniekan-Augusta, O. E., Etim, A. O., & Patience, A. A. (2023). Some haematological parameters of tuberculosis infected Nigerians. Global Journal of Pure and Applied Sciences, 19, 95–100.

Iseman, M. D. (2000). A clinician's guide to tuberculosis. Lippincott Williams & Wilkins.

Kartaloglu, Z., Cerrahoglu, K., Okutan, O., Ozturk, A., & Aydilek, R. (2000). Parameters of blood coagulation in patients with pulmonary tuberculosis. The Internet Journal of Internal Medicine, 2(2).

Keith, G., & John, H. M. (2016). Normal haemostasis. In A. V. Hoffbrand, D. Catovsky, E. G. D. Tuddenham, & A. R. Green (Eds.), Postgraduate haematology (7th ed., pp. 676–714). John Wiley and Sons, Ltd.

Klein, S. K., Slim, E. J., De-Kruif, M. D., Keller, T. T., Ten, C. H., & van Gorp, E. C. (2015). Is chronic TB infection associated with venous thrombotic disease? A systematic review. Netherlands Journal of Medicine, 63, 129–136.

Kumar, A., Dubey, A., Sanwaria, Y., & Tanwar, S. (2025). Left ventricular thrombus as a rare complication of pulmonary tuberculosis. Exploration of Cardiology, 3, 101255. DOI: https://doi.org/10.37349/ec.2025.101255

Kumar, V. (2020). Pulmonary innate immune response determines the outcome of inflammation during pneumonia and sepsis-associated acute lung injury. Frontiers in Immunology, 11, 1722. DOI: https://doi.org/10.3389/fimmu.2020.01722

Kumaravel, A., Jahdav, P., Sahu, S., Athavale, A., Vipul, J. R., Singh, A., & Samuel, S. J. (2024). A study on haematological and coagulation parameters in newly diagnosed tuberculosis patients. European Journal of Cardiovascular Medicine, 14(2), 916.

Lee, S. W., Kang, Y. A., Yoon, Y. S., Um, S. W., Lee, S. M., Yoo, C. G., Kim, Y. W., Han, S. K., Shim, Y. S., & Yim, J. J. (2006). The prevalence and evolution of anemia associated with tuberculosis. Journal of Korean Medicine and Science, 21(6), 1028–1032. DOI: https://doi.org/10.3346/jkms.2006.21.6.1028

Malik, A., Rehman, F. U., Shah, K. U., Naz, S. S., & Qaisar, S. (2021). Hemostatic strategies for uncontrolled bleeding: A comprehensive update. Journal of Biomedical Materials Research Part B: Applied Biomaterials, 109(10), 1465–1477. DOI: https://doi.org/10.1002/jbm.b.34806

Mariena, H., & Rita, R. (2024). Factors associated with medication adherence in patients with tuberculosis year, 2024. International Journal of Accounting, Management, Economics and Social Sciences, 2(2), 543–553. DOI: https://doi.org/10.61990/ijamesc.v2i2.215

Martens, G. A., Paul, W., & Benatar, S. (1995). Miliary tuberculosis: Rapid diagnosis, haematological abnormalities and outcome in 109 treated adults. Journal of Clinical Investions, 89, 291–296. DOI: https://doi.org/10.1016/0002-9343(90)90340-J

Mekenye, O. J. (2024). Profile of haematological indices among pulmonary tuberculosis patients attending Kisi Teaching Hospital and Referral Hospital, Kisii Kenya [Master's thesis, Kisii University]. Kisii University Institutional Repository. http://www.repository.kisiiuniversity.ac.ke:8080/xmlui/handle/123456789/6787

Mekonnen, D., Nibret, E., Munshea, A., Derbie, A., Zenebe, Y., Tadese, A., Birku, T., Tesfa, E., Sinishaw, M. A., Getachew, H., Gashaw, Y., Yismaw, G., Kebede, M. M., & Gelaw, B. (2023). Comparative serum lipid and immunohematological values among adult pulmonary tuberculosis and tuberculosis lymphadenitis cases and their association with sputum bacilli load and time to culture positivity in Northwestern Ethiopia. Lipids in Health and Disease, 22(1), 56. DOI: https://doi.org/10.1186/s12944-023-01821-3

Miah, M. A., Chowhury, U. A., Ahmed, N., Shafique, M., & Islam, N. (2007). Simultaneous occurrence and multiple types of cutaneous tuberculosis with internal organ tuberculosis (PTB). Mymensingn Medical Journal, 16, 108–112. DOI: https://doi.org/10.3329/mmj.v16i1.265

Mina, C., Proteesh, K. C., & Vijay, A. (2019). Tuberculosis - Depression syndromic: Public health challenge. Indian Journal of Tuberculosis, 66(1), 197–202. DOI: https://doi.org/10.1016/j.ijtb.2019.02.007

Mitroi, D. M., Balteanu, M. A., Cioboata, R., Vlasceanu, S. G., Zlatian, O. M., Catana, O. M., Mirea, A. A., Mogos, G. F. R., Rotaru, I., & Biciusca, V. (2025). Hypercoagulability in tuberculosis: Pathophysiological mechanisms, associated risks, and advances in management-A narrative review. Journal of Clinical Medicine, 14(3), 762. DOI: https://doi.org/10.3390/jcm14030762

Mohan, M. (2013). Textbook of pathology (6th ed.). Jaypee Brothers Medical Publishers.

Morris, C. D. W. (1989). The radiography, haematological and biochemical changes in severe pulmonary tuberculosis. Qatar Journal of Medicine, 73, 1151–1159.

Mustapha, G., Joshua, O., Abdulrazaq, G. H., & Sambo, N. (2017). Handbook of global tuberculosis control: Practices and challenges (pp. 61–73).

Mwatenga, S. A., Musa, A. A., Muturi, M. W., & Musyoki, A. M. (2024). Prevalence and associated factors of TB and HIV coinfections among adult inmates with presumptive TB in Kenyan prison. Tropical Medicine and Health, 52(54), 1–8. DOI: https://doi.org/10.1186/s41182-024-00623-2

Mythic™ 18 Vet operator's manual. (n.d.). Orphee Medical. Retrieved December 15, 2023, from http://www.orphee-medical.com/

Nwankwo, E. K., Kwarru, A., Ofulu, A., & Babashani, M. (2005). Haematological changes in tuberculosis in Kano, Nigeria. Journal of Medical Lab. Science, 14(2), 23–28. DOI: https://doi.org/10.4314/jmls.v14i2.35326

Ochonye, B., Sanni, O. F., Emmanuel, G., Umoh, P., Kalaiwo, A., Abang, R., Amechi, P., Ahkigbe, M., Akinpelumi, S., & Motilewa, O. (2024). A retrospective study of tuberculosis prevalence and associated factors among HIV-positive key populations in Nigeria. Plos Global Public Health, 4(7), e0003461. DOI: https://doi.org/10.1371/journal.pgph.0003461

Okafor, I., Eyo, A. E., Okon, E., & Akpan, P. (2013). Some haematological parameters of Tuberculosis Infected Nigerians: A study in Calabar- Nigeria. Global Journal of Pure and Applied Sciences, 19, 95–100. DOI: https://doi.org/10.4314/gjpas.v19i1.12

Olaniyi, J. A., & Aken'Ova, Y. A. (2003). Haematological profile of patients with pulmonary tuberculosis in Ibadan, Nigeria. African Journal of Medicine and Medical Sciences, 32, 239–242.

Osita, O. S., Amilo, G. I., Ositadinma, I. M., Obi, E., Akawu, B., & Martina, N. A. (2015). Overt increase in lupus anticoagulant level in TB patients co-infected with pulmonary infection. A prospective cohort study. Erodium Journal of Haematology, 1, 1–6.

Oyeniyi, R. M., Israel, O. P., Muhammed, M. B. U., Ebenezer, O. D., Taiwo, A. P., Ahmed, M. B., Michael, A., Adebanke, A. O., Celestine, E. E., Samuel, D. S., Solomon, U. A., Michael, O. T., Adedamola, A. O., & Jacob, A. A. (2025). Assessment of awareness of anti-tuberculosis drug resistance among tuberculosis patients in a north-central state of Nigeria. American Journal of Clinical and Experimental Medicine, 13(1), 14–23. DOI: https://doi.org/10.11648/j.ajcem.20251301.13

Parasappa, J. Y., Toolhally, U., & Sadula, G. H. (2013). Haematological profile in pulmonary tuberculosis. International Journal of Health and Rehabilitation Sciences, 2(1), 50–55.

Prasiska, D. I., Chapagain, D. D., Osei, K. M., Rajaguru, V., Kang, S. J., Kim, T. H., Lee, S. G., & Han, W. (2024). Non-communicable comorbidities in pulmonary tuberculosis and healthcare utilization: a cross-sectional study of 2021 Indonesian national health insurance data. Archives of Public Health, 82(1), 127. DOI: https://doi.org/10.1186/s13690-024-01352-y

Rabita, I. (2012). Study on hematological indicess of tuberculosis patients attending in a tertiary care hospital in Dhaka city [Master's dissertation, East West University].

Raychaudhuri, S., Menia, R., & Yadav, P. (2022). Assessment of hematological and coagulation profile of patients diagnosed as tuberculous lymphadenopathy on cytology: A cross sectional study in industrial belt in Northern India. IP Journal of Diagnostic Pathology and Oncology, 7(1), 30–35. DOI: https://doi.org/10.18231/j.jdpo.2022.006

Robson, S. C., White, N. W., Aronson, I., Woollgar, R., Goodman, H., & Jacobs, P. (1996). Acute-phase response and the hypercoagulable state in pulmonary tuberculosis. British Journal of Haematology, 93, 943–949. DOI: https://doi.org/10.1046/j.1365-2141.1996.d01-1722.x

Saidu, H., Muhammad, A. H., Garba, N., Danladi, S. B., & Aliyu, I. A. (2020). Some haemostatic parameters of patients with pulmonary tuberculosis infection attending Aminu Kano Teaching Hospital Kano, Nigeria. Calabar Journal of Health Sciences, 3, 54–58. DOI: https://doi.org/10.25259/CJHS_12_2019

Salisu, U. S., Kudi, A. C., Danbirni, S., Mamman, P. H., Saidu, S. N. A., Garba, M. G., Sanusi, A. Z., Yusuf, A., & Ishaq, A. (2025). Occurrence and risk factors of tuberculosis in camels from three North-western states of Nigeria. Fudma Journal of Animal Production & Environmental Science, 1(1), 77–81. DOI: https://doi.org/10.33003/japes.2025.v1i1.77-81

Shah, A., Desai, K., & Maru, A. (2022). Evaluation of haematological parameters in the editors of Encyclopaedia. Encyclopaedia Britannica. Retrieved August 29, 2024, from https://www.britannica.com/place/Kano-Nigeria

Turken, O., Kunter, E., Sezer, M., Solmazgul, E., Cerrahoglu, K., Bozkanat, E., Ozturk, A., & Ilvan, A. (2002). Haemostatic changes in active pulmonary tuberculosis. International Journal of Tuberculosis and Lung Diseases, 6(10), 927–932. DOI: https://doi.org/10.5588/09640569513039

Verhamme, P., & Hoylaerts, M. F. (2009). Haemostasis and inflammation: two of a kind? Thrombosis Journal, 7, 15. DOI: https://doi.org/10.1186/1477-9560-7-15

Wang, J., Yu, C., Zhuang, J., Qi, W., Jiang, J., Liu, X., Zhao, W., Cao, Y., Wu, H., Qi, J., & Zhao, R. C. (2022). The role of phosphatidylserine on the membrane in immunity and blood coagulation. Biomarker Research, 10(1), 4. DOI: https://doi.org/10.1186/s40364-021-00346-0

World Health Organization. (2013). Global tuberculosis report 2013. https://www.who.int/iris/bitstream/10665/91355/1/9789241564656_eng.pdf?ua=1

World Health Organization. (2024). Global tuberculosis report 2024. Retrieved June 13, 2025, from https://www.who.int/teams/global-programme-on-tuberculosis-and-lung-health/tb-reports/globaltuberculosis-report-2024

Published

2025-12-01

How to Cite

Kayode, E., Danladi, S. B., Sule, H., Mustapha, A. H., Ado, M. D., & Onuigwe, F. U. (2025). Evaluation of Haematological Parameters in Tuberculosis Patients Attending Infectious Diseases Hospital, Kano, Nigeria. UMYU Journal of Microbiology Research (UJMR), 10(2), 23-31. https://doi.org/10.47430/ujmr.25102.003

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