Articles Vol. 67 No. 8 28/08/2026

CORRELATION BETWEEN PLASMA FERRITIN LEVELS AND BIOCHEMICAL AND HEMATOLOGICAL INDICES IN PATIENTS WITH PROLONGED FEVER STRATIFIED BY ETIOLOGY

Nguyen Hoai Nam1,2, Dao Huyen Quyen1,2, Tran Thi Quynh Anh3,4
1 Bach Mai Hospital
2 Bệnh viện Bạch Mai
3 National Lung Hospital
4 Bệnh viện Phổi Trung Ương
DOI: 10.52163/yhc.v67i8.6304
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Abstract

Objective: To investigate the correlation between plasma ferritin levels and biochemical/hematological indices in prolonged fever patients stratified by infectious and non-infectious etiologies at Bach Mai Hospital. Methods: A cross-sectional descriptive study on 60 inpatients with prolonged fever (Jun 2022 – Jun 2023). Pearson correlation coefficients were analyzed using SPSS 20.0. Results: In the infectious group, ferritin correlated positively with PCT (r=0,51; p=0,001), GOT (r=0,58; p<0,01), GPT (r=0,38; p=0,021) and LDH (r=0,41; p=0,012). In the non-infectious group, ferritin correlated positively with PCT (r=0,65, p = 0,001), GOT (r=0,61, p = 0,001), GPT (r=0,43, p = 0,034), LDH (r=0,53, p = 0,008) and negatively with PLT (r=-0.59; p=0.002) and RBC (r=-0.42; p=0.04). Average value of LDH was significantly higher in the non-infectious group was 460 U/l and in the infectious group was 291 U/L (p=0.023). Conclusion: Plasma ferritin levels are possitively correlated with hepatocellular damage (GOT, GPT), tissue injury (LDH), and inflammation (PCT). In the non-infectious group, ferritin additionally inversely correlated with RBC and PLT, reflecting multi-organ involvement.

References
[1]
Chien YL, Huang FL, Huang CM, Chen PY. Clinical approach to fever of unknown origin in children. J Microbiol Immunol Infect. 2017;50(6):893-898. Google Scholar
[2]
Fusco FM, Pisapia R, Nardiello S, et al. Fever of unknown origin (FUO): factors influencing the final diagnosis. BMC Infect Dis. 2019;19(1):653. Google Scholar
[3]
Ganz T, Nemeth E. Iron sequestration and anemia of inflammation. Semin Hematol. 2009;46(4):387-393. Google Scholar
[4]
Hintze KJ, Theil EC. Cellular regulation and molecular interactions of the ferritins. Cell Mol Life Sci. 2006;63(5):591-600. Google Scholar
[5]
Cunha BA. Fever of unknown origin: focused diagnostic approach. Infect Dis Clin North Am. 2007;21(4):1137-1187. Google Scholar
[6]
Hayakawa K, Ramasamy B, Chandrasekar PH. Fever of unknown origin: an evidence-based review. Am J Med Sci. 2012;344(4):307-316. Google Scholar
[7]
Kim SE, Kim UJ, Jang MO, et al. Diagnostic use of serum ferritin levels to differentiate infectious and noninfectious diseases in patients with fever of unknown origin. Dis Markers. 2013;34(3):211-218. Google Scholar
[8]
Mansour RH, El-moneum SSA, Hassan TA, et al. Evaluation of serum ferritin level in patients with fever of unknown origin. Al-Azhar Assiut Medical Journal. 2017;15(3):135-141. Google Scholar
[9]
Du Clos TW, Mold C. C-reactive protein: an activator of innate immunity and a modulator of adaptive immunity. Immunol Res. 2004;30(3):261-277. Google Scholar
[10]
Efstathiou SP, Pefanis AV, Tsiakou AG, et al. Fever of unknown origin: discrimination between infectious and non-infectious causes. Eur J Intern Med. 2010;21(2):137-143. Google Scholar
[11]
Cleland DA, Eranki AP. Procalcitonin. StatPearls Publishing; 2023. Google Scholar
[12]
Assicot M, Gendrel D, Carsin H, et al. High serum procalcitonin concentrations in patients with sepsis. Lancet. 1993;341(8844):515-518. Google Scholar
[13]
Adeva-Andany M, Lopez-Ojen M, et al. Comprehensive review on lactate metabolism in human health. Mitochondrion. 2014;17:76-100. Google Scholar
[14]
Farhana A, Lappin SL. Biochemistry, Lactate Dehydrogenase. StatPearls Publishing; 2023. Google Scholar
[15]
Pan J, Liao Y, Huang Q, et al. Associations between serum ferritin, iron, and liver transaminases in adolescents. Nutr Hosp. 2023;40(5):949-959. Google Scholar
[16]
Tripathy R, Panda AK, Das BK. Serum ferritin level correlates with SLEDAI scores and renal involvement in SLE. Lupus. 2015;24(1):82-89. Google Scholar
[17]
Zandman-Goddard G, Shoenfeld Y. Hyperferritinemia in autoimmunity. Isr Med Assoc J. 2008;10(1):83-84. Google Scholar
[18]
Alkhateeb AA, Han B, Connor JR. Ferritin stimulates breast cancer cells through an iron-independent mechanism. Breast Cancer Res Treat. 2013;137(3):733-744. Google Scholar
[19]
Kalousova M, Krechler T, Jachrymova M, et al. Ferritin as an independent mortality predictor in pancreatic cancer. Tumour Biol. 2012;33(5):1695-1700. Google Scholar
[20]
Gray CP, Franco AV, Arosio P, Hersey P. Immunosuppressive effects of melanoma-derived heavy-chain ferritin. Int J Cancer. 2001;92(6):843-850. Google Scholar