Relationship between Transaminase Enzyme Levels and Severity of Dengue Fever

Authors

  • Wita Lestari Sidabutar Universitas Sumatera Utara
  • Restuti Hidayani Saragih Universitas Sumatera Utara
  • Lili Rohmawati Universitas Sumatera Utara
  • Bintang Yinke Magdalena Sinaga Universitas Sumatera Utara

DOI:

https://doi.org/10.18196/mmjkk.v25i1.22076

Keywords:

dengue hemorrhagic fever, serum glutamic pyruvic transaminase, serum glutamic oxalacetic transaminase, liver damage

Abstract

Since dengue hemorrhagic fever (DHF) can cause liver damage, aminotransferase levels as liver function test may be useful in predicting the severity of dengue hemorrhagic fever. The purpose of this study was to determine the relationship between transaminase enzyme levels and the severity of dengue hemorrhagic fever. This study used analytic observational approach with cross-sectional design. The data used was secondary data, namely medical records of H. Adam Malik Hospital and Hospital of Prof. Dr. Chairuddin P. Lubis University of North Sumatera. From a total of 65 patients included, there were 63.1% (41 patients) with DHF grade 1, 29.2% (19 patients) were DHF grade 2, 6.2% (4 patients) were DHF grade 3 and 1.5% (1 medical record) were DHF grade 4. For aminotransferase level 56.9% (37 records) had elevated SGPT levels and 92.3% (60 records) had elevated SGOT levels, it was found that there was no relationship between increased levels of SGPT and SGOT with the severity of DHF (SGPT p = 0.628 and SGOT p = 1.00). There is no association between the elevations of transaminase enzyme levels and the severity of DHF.

Author Biographies

Wita Lestari Sidabutar, Universitas Sumatera Utara

Faculty of Medicine, Universitas Sumatera Utara, Medan

Restuti Hidayani Saragih, Universitas Sumatera Utara

Division of Tropical Infectious Diseases Department of Internal Medicine Faculty of Medicine, Universitas Sumatera Utara, Medan

Lili Rohmawati, Universitas Sumatera Utara

Division of Pediatric Department of Faculty of Medicine, Universitas Sumatera Utara, Medan

Bintang Yinke Magdalena Sinaga, Universitas Sumatera Utara

Division of Pulmonology and Respiratory Medicine Department of Internal Medicine Faculty of Medicine, Universitas Sumatera Utara, Medan

References

Suhendro, Nainggolan L, Chen K, Pohan HT. Demam Berdarah Dengue. In: Setiati S, Alwi I, Sudoyo AW, Simadibrata K M, Setiyonadi B, Syam AF, editors. Buku Ajar Ilmu Penyakit Dalam. 6th ed. Jakarta: Interna Publishing; 2015. p. 539-48.

Kementerian Kesehatan Republik Indonesia. Strategi Nasional Penanggulangan Dengue 2021-2025. 2021. Available from: https://p2pm.kemkes.go.id/storage/publikasi/media/file_1631494745.pdf

Dissanayake HA, Seneviratne SL. Liver involvement in dengue viral infections. Vol. 28, Reviews in Medical Virology. John Wiley and Sons Ltd; 2018. https://doi.org/10.1002/rmv.1971

Chia PY, Thein TL, Ong SWX, Lye DC, Leo YS. Severe dengue and liver involvement: an overview and review of the literature. Vol. 18, Expert Review of Anti-Infective Therapy. Taylor and Francis Ltd; 2020. p. 181-9. https://doi.org/10.1080/14787210.2020.1720652

Md Sani SS, Han WH, Bujang MA, Ding HJ, Ng KL, Amir Shariffuddin MA. Evaluation of creatine kinase and liver enzymes in identification of severe dengue. BMC Infect Dis. 2017 Jul 21;17(1).

https://doi.org/10.1186/s12879-017-2601-8

Bender DA, Murray RK. Biokimia Klinis. In: Sukiman M, Hafiarni K, Astrid EY, Iskandar M, editors. Biokimia Harper. 31st ed. Jakarta: EGC; 2020. p. 612.

Wang XJ, Wei HX, Jiang SC, He C, Xu XJ, Peng HJ. Evaluation of aminotransferase abnormality in dengue patients: A meta-analysis. Vol. 156, Acta Tropica. Elsevier B.V.; 2016. p. 130-6. https://doi.org/10.1016/j.actatropica.2015.12.013

José De Souza L, Alves JG, Maria R, Nogueira R, Neto CG, Assed Bastos D, et al. Aminotransferase Changes and Acute Hepatitis in Patients With Dengue Fever: Analysis of 1,585 Cases [Internet]. 2004. Available from: https://doi.org/10.1590/S1413-86702004000200006

Priyangika DKD, Premawansa G, Adikari M, Thillainathan S, Premawansa S, Jayamanne BDW, et al. Predictive value of hepatic transaminases during febrile phase as a predictor of a severe form of Dengue: analysis of adult Dengue patients from a tertiary care setting of Sri Lanka. BMC Res Notes. 2021 Dec 1;14(1). https://doi.org/10.1186/s13104-021-05670-0

Made Susila Utama I, Lukman N, Sukmawati DD, Alisjahbana B, Alam A, Murniati D, et al. Dengue viral infection in Indonesia: Epidemiology, diagnostic challenges, and mutations from an observational cohort study. PLoS Negl Trop Dis. 2019;13(10). https://doi.org/10.1371/journal.pntd.0007785

Yu Y, Liu Y, Ling F, Sun J, Jiang J. Epidemiological Characteristics and Economic Burden of Dengue in Zhejiang Province, China. Viruses. 2023 Aug 1;15(8). https://doi.org/10.3390/v15081731

Anker M, Arima Y. Male-female differences in the number of reported incident dengue fever cases in six Asian countries. Western Pacific Surveillance and Response. 2011 Jul 5;2(2):e1-e1.

https://doi.org/10.5365/wpsar.2011.2.1.002

Direktorat Statistik Kependudukan dan Ketenagakerjaan. Booklet Survei Angkatan Kerja Nasional Februari 2023 [Internet]. 2023 [cited 2023 Dec 22]. Available from: https://www.bps.go.id/id/publication/2023/07/07/40a0b3f1fd46be1a5edbae1d/booklet-survei-angkatan-kerja-nasional-februari-2023.html

Badan Pusat Statistik Provinsi Sumatera Utara. Keadaan Angkatan Kerja di Provinsi Sumatera Utara Februari 2023 [Internet]. Vol. 12. Suamtera Utara: Badan Pusat Statistik Provinsi Sumatera Utara; 2023 [cited 2023 Dec 22]. Available from: https://sumut.bps.go.id/publication/2023/10/11/23137af2a65b63f2b676459a/keadaan-angkatan-kerja-di-provinsi-sumatera-utara-februari-2023-.html

Bano N, Tayyab M, Bushra M, Firyal S, Hashmi AS, Wasim M, et al. Clinical, Hematological and Biochemical Manifestations Among Dengue Patients of Lahore Region. Pak J Zool. 2023;

https://doi.org/10.17582/journal.pjz/20221013001005

Medagama A, Dalugama C, Meiyalakan G, Lakmali D. Risk Factors Associated with Fatal Dengue Hemorrhagic Fever in Adults: A Case Control Study. Canadian Journal of Infectious Diseases and Medical Microbiology. 2020;2020. https://doi.org/10.1155/2020/1042976

Ashraf A, Zafar S, Mehmood F, Bukhari KHS, Habib A, Husnain MA. Impact of Comorbid Conditions on Severity of Dengue Fever: A Comparative Study. Pakistan Armed Forces Medical Journal. 2023 Aug 1;73(4):1104-7. https://doi.org/10.51253/pafmj.v73i4.8237

Pauletto P, Rattazzi M. Inflammation and hypertension: The search for a link. Vol. 21, Nephrology Dialysis Transplantation. 2006. p. 850-3. https://doi.org/10.1093/ndt/gfl019

Teixeira MG, Paixão ES, Costa M da CN, Cunha R V., Pamplona L, Dias JP, et al. Arterial Hypertension and Skin Allergy Are Risk Factors for Progression from Dengue to Dengue Hemorrhagic Fever: A Case Control Study. PLoS Negl Trop Dis. 2015 May 21;9(5). https://doi.org/10.1371/journal.pntd.0003812

Teixeira MG, Paixão ES, Costa M da CN, Cunha R V., Pamplona L, Dias JP, et al. Arterial Hypertension and Skin Allergy Are Risk Factors for Progression from Dengue to Dengue Hemorrhagic Fever: A Case Control Study. PLoS Negl Trop Dis. 2015 May 21;9(5). https://doi.org/10.1371/journal.pntd.0003812

Fernando S, Wijewickrama A, Gomes L, Punchihewa CT, Madusanka SDP, Dissanayake H, et al. Patterns and causes of liver involvement in acute dengue infection. BMC Infect Dis. 2016;16(1).

https://doi.org/10.1186/s12879-016-1656-2

Swamy AM, Mahesh PY, Rajashekar ST. Liver function in dengue and its correlation with disease severity: a retrospective cross-sectional observational study in a tertiary care center in Coastal India. Pan African Medical Journal. 2021;40. https://doi.org/10.11604/pamj.2021.40.261.29795

Asim Ahmed, Aftab Haider Alvi, Ambreen Butt, Arif Amir Nawaz, Asif Hanif. Assessment of Dengue Fever Severity Through Liver Function Tests. Journal of the College of Physicians and Surgeons Pakistan . 2014 Sep;24(9):640-4. Available from: https://pubmed.ncbi.nlm.nih.gov/25233967/

Samanta J. Dengue and its effects on liver. World J Clin Cases. 2015;3(2):125.

https://doi.org/10.12998/wjcc.v3.i2.125

Devarbhavi H, Ganga D, Menon M, Kothari K, Singh R. Dengue hepatitis with acute liver failure: Clinical, biochemical, histopathological characteristics and predictors of outcome. Journal of Gastroenterology and Hepatology (Australia). 2020 Jul 1;35(7):1223-8. https://doi.org/10.1111/jgh.14927

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Published

2025-01-31

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