Changes in markers ferritin and c-reactive protein in patients with COVID-19 in Iraq

A case-control study

https://doi.org/10.53730/ijhs.v6nS9.12284

Authors

  • Haider Abd Jabbar University of Al-Qadisiyah, Collage of Medicine, Medical Chemistry Branch, Al-Diwaniyah, Iraq
  • Aqeel Raheem Hasan University of Al-Qadisiyah, Collage of Medicine, Medicine Branch, Al-Diwaniyah, Iraq
  • Mohammed Ali Mones Department of Clinical Biochemistry, College of Medicine, University of Al-Qadisiyah, Al-Diwaniyah, Iraq.
  • Abdalkhaliq A. Abdalameer University of Al-Qadisiyah, Collage of Education, Department of Chemistry
  • May Jaleel Abed University of Al-Qadisiyah, Collage of Medicine, Medical Chemistry Branch

Keywords:

COVID-19, ferritin, C-reactive protein

Abstract

Background: According to the coronavirus virus resource center of Johns Hopkins Medicine, more than 75 million people are presently affected worldwide, SARS-CoV-2  infect host cells through the angiotensin-converting enzyme 2 (ACE2) receptor, which is found in a variety of human organs, the virus's entry into the bloodstream has resulted in the involvement of practically all of the body's organs. Aim: We have aimed to determine the roles of serum ferritin and CRP in different strata of patients with COVID-19 infection and to predict disease severity. Methods: A retrospective study was carried out after obtaining approval from the relevant Ethics Committee. Total number of 125 cases taken for study, admitted on a priority basis. Consecutive blood tests that included ferritin and CRP in the study period were reviewed. Patients diagnosed with SARS-CoV-2 infection in whom,  serum ferritin and CRP had been analyzed at the time of admission were selected. For assessment of severity and behavior of the factors to be analyzed the COVID-19 patients were grouped into  (mild),(moderate) and  (severely ill) cases, factors analyzed in all groups and correlated,in December 27, 2020, to April  25, 2020. Results: For patients, the mean age was 51 years 64% were men.

Downloads

Download data is not yet available.

References

Abobaker, A. (2021) Reply: iron chelation may harm patients with COVID-19. Eur. J. Clin. Pharmacol., 77, 267–268.

Ali, N. (2020) Elevated level of C‐reactive protein may be an early marker to predict risk for severity of COVID‐19. J. Med. Virol.

Ayuanda, L. N., Wahidin, W., Raidanti, D., Minarti, M., & Ningsih, D. A. (2022). Online midwife’s training on psychoeducation of perinatal mental health during COVID-19 Pandemic. International Journal of Social Sciences and Humanities, 6(1), 85–97. https://doi.org/10.53730/ijssh.v6n1.4741

Carcillo, J.A. et al. (2017) A systemic inflammation mortality risk assessment contingency table for severe sepsis. Pediatr. Crit. care Med. a J. Soc. Crit. Care Med. World Fed. Pediatr. Intensive Crit. Care Soc., 18, 143.

Chen, G. et al. (2020) Clinical and immunological features of severe and moderate coronavirus disease 2019. J. Clin. Invest., 130, 2620–2629.

Chen, W. et al. (2020) Plasma CRP level is positively associated with the severity of COVID-19. Ann. Clin. Microbiol. Antimicrob., 19, 1–7.

Cheng, L. et al. (2020) Ferritin in the coronavirus disease 2019 (COVID‐19): a systematic review and meta‐analysis. J. Clin. Lab. Anal., 34, e23618.

Da, B.L. et al. (2020) Kinetic patterns of liver enzyme elevation with COVID-19 in the USA. Eur. J. Gastroenterol. Hepatol.

Deng, F. et al. (2021) Increased levels of ferritin on admission predicts intensive care unit mortality in patients with COVID-19. Med. Clínica (English Ed., 156, 324–331.

Hsiang, S. et al. (2020) The effect of large-scale anti-contagion policies on the COVID-19 pandemic. Nature, 584, 262–267.

Huang, C. et al. (2020) Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet, 395, 497–506.

Javanian, M. et al. (2020) Clinical and laboratory findings from patients with COVID-19 pneumonia in Babol North of Iran: a retrospective cohort study. Rom. J. Intern. Med., 58, 161–167.

Kernan, K.F. and Carcillo, J.A. (2017) Hyperferritinemia and inflammation. Int. Immunol., 29, 401–409.

Khreiss, T. et al. (2004) Conformational rearrangement in C-reactive protein is required for proinflammatory actions on human endothelial cells. Circulation, 109, 2016–2022.

Lalueza, A. et al. (2020) Elevation of serum ferritin levels for predicting a poor outcome in hospitalized patients with influenza infection. Clin. Microbiol. Infect., 26, 1557-e9.

Lino, K. et al. (2021) Serum ferritin at admission in hospitalized COVID-19 patients as a predictor of mortality. Brazilian J. Infect. Dis., 25.

Marnell, L. et al. (2005) C-reactive protein: Ligands, receptors and role in inflammation. Clin. Immunol., 117, 104–111.

Mehta, P. et al. (2020) COVID-19: consider cytokine storm syndromes and immunosuppression. Lancet, 395, 1033–1034.

Pepys, M.B. and Hirschfield, G.M. (2003) C-reactive protein: a critical update. J. Clin. Invest., 111, 1805–1812.

Shi, F. et al. (2020) Association of viral load with serum biomakers among COVID-19 cases. Virology, 546, 122–126.

Singh, A. et al. (2021) Covid19, beyond just the lungs: A review of multisystemic involvement by Covid19. Pathol. Res. Pract., 224, 153384.

Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). The COVID-19 pandemic. International Journal of Health Sciences, 5(2), vi-ix. https://doi.org/10.53730/ijhs.v5n2.2937

Taneri, P.E. et al. (2020) Anemia and iron metabolism in COVID-19: a systematic review and meta-analysis. Eur. J. Epidemiol., 35, 763–773.

Utama, G. A., Agung, A. A. G., Candiasa, I. M., & Sunu, G. K. A. (2022). School principal roles during the COVID-19 pandemic: New challenges in sudden disruption. International Journal of Health Sciences, 6(2), 797–805. https://doi.org/10.53730/ijhs.v6n2.8317

Wang, B. et al. (2021) Characteristics of the Iron-responsive Element (IRE) Stems in the Untranslated Regions of Animal mRNAs. Open Biochem. J., 15.

Wang, G. et al. (2020) C-reactive protein level may predict the risk of COVID-19 aggravation. In, Open forum infectious diseases. Oxford University Press US, p. ofaa153.

Wessling-Resnick, M. (2018) Crossing the iron gate: why and how transferrin receptors mediate viral entry. Annu. Rev. Nutr., 38, 431–458.

Young, B. et al. (1991) C-reactive protein: a critical review. Pathology, 23, 118–124.

Yufei, Y. et al. (2020) Utility of the neutrophil-to-lymphocyte ratio and C-reactive protein level for coronavirus disease 2019 (COVID-19). Scand. J. Clin. Lab. Invest., 80, 536–540.

Zhang, G. et al. (2020) Analysis of clinical characteristics and laboratory findings of 95 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a retrospective analysis. Respir. Res., 21, 1–10.

Zhang, H. et al. (2020) Potential factors for prediction of disease severity of COVID-19 patients. MedRxiv.

Zhou, P. et al. (2020) A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature, 579, 270–273.

Published

29-08-2022

How to Cite

Jabbar, H. A., Hasan, A. R., Mones, M. A., Abdalameer, A. A., & Abed, M. J. (2022). Changes in markers ferritin and c-reactive protein in patients with COVID-19 in Iraq: A case-control study. International Journal of Health Sciences, 6(S9), 1445–1453. https://doi.org/10.53730/ijhs.v6nS9.12284

Issue

Section

Peer Review Articles