Monocyte-lymphocyte, neutrophil-lymphocyte, and platelet-lymphocyte ratios as inflammatory biomarkers of clinical dengue severity

Luiza Monteiro Böer; Isabela Cinquini Junqueira; Thais Cardoso do Nascimento; Adriana Oliveira Guilarde; Valéria Christina de Rezende Féres; Keila Correia de Alcântara

doi:10.14393/BJ-v40n0a2024-67413

Authors

Luiza Monteiro Böer Universidade Federal de Goiás
Isabela Cinquini Junqueira Universidade Federal de Goiás
Thais Cardoso do Nascimento Universidade Federal de Goiás https://orcid.org/0000-0002-5702-8587
Adriana Oliveira Guilarde Universidade Federal de Goiás https://orcid.org/0000-0002-5032-8085
Valéria Christina de Rezende Féres Universidade Federal de Goiás https://orcid.org/0000-0002-9843-2949
Keila Correia de Alcântara Universidade Federal de Goiás https://orcid.org/0000-0002-4477-2833

DOI:

https://doi.org/10.14393/BJ-v40n0a2024-67413

Keywords:

Blood cell count, Dengue hemorrhagic fever, Dengue virus, Leukocyte count, Prognostic.

Abstract

The literature describes monocyte-lymphocyte (MLR), neutrophil-lymphocyte (NLR), and platelet-lymphocyte (PLR) ratios as prognostic biomarkers. However, in the case of dengue infection, patient clinical management and nonspecific laboratory tests determine the prognosis. Therefore, this study analyzed MLR, NLR, and PLR as prognostic biomarkers of dengue infection. Our study was based on a clinical cohort of dengue patients in Brazil between 2012 and 2013. From 193 patients, 164 (85.0%) were classified as dengue fever (DF), 19 (9.8%) as dengue hemorrhagic fever (DHF), and 10 (5.2%) as intermediate DF/DHF. DHF cases were significantly associated with MLR > 0.13 (OR: 5.72, 95% CI: 1.28-25.60, p < 0.05) and PLR ≤ 80.68 (OR: 4.26; 95% CI 1.60-11.33; p < 0.05). Our results suggest that MLR increase, and PLR decrease indicate a higher likelihood of worsening the clinical status.

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