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Infected with dengue and suffering from fever. Blood test showing zero platelet count. Is the platelet count alarming?

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Practicing since : 1989
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hello doctor!my brother got infected from dengue one month ago.he had platelets count 0000 that tme,then it came t0 0000 after 15 days of treatment and proper diet.but suddenly he suffered fever yesterday and went for blood test and platelets count is 0000.His exam is due next month,so he has been working very hard.so please give some suggestions what to do next?
Posted Sun, 27 Oct 2013 in Medicines and Side Effects
 
 
Answered by Dr. Irshad H Naqvi 1 hour later
Brief Answer:
Platelets can be suppressed in any fever.

Detailed Answer:
Hi,

Welcome to the XXXXXXX

Platelets numbers are always fluctuating, having life span of only 6-8 hours.
Usually they get suppressed easily in any viral fever,and normal number are recovered easily after viral toxemia is finished.

Dengue are of many serotypes(varieties) like type I or type II,III and IV,

Once dengue occurred by one serotype it can not be repeated by the same serotypes, It can be repeated by the other remaining serotypes only.

He can be further screened for the Dengue antigen test and complete fever panel investigation to rule out Viral/ Enteric /malarial fever or any other bacterial infection. Accordingly he should get specific and symptomatic treatment.

Good nutrition and adequate fluid replenishment should be the aim in any viral fever for the proper recovery from the ailment.

Hope, the query is answered.

Please feel free for the further clarification.

Thanks,


Above answer was peer-reviewed by
 
Follow-up: Infected with dengue and suffering from fever. Blood test showing zero platelet count. Is the platelet count alarming? 53 minutes later
is the platelets count 0000 alarming?Can he continue studying for 10-12 hours a day?i mean will this much mental exercise be related to dropping platelets numbers?
 
 
Answered by Dr. Irshad H Naqvi 9 hours later
Brief Answer:
Mental work do not drop Platelets.Keep milder activity

Detailed Answer:
Hi

0000 Platelets/microleter of blood are not so alarming. but should be monitored daily or alternate day to check its steep fall. Platelets below 0000 may lead to hemorrhagic tendencies.

Once the count reaches the comfortable limit of 1.5 lakhs. (which is lower normal limit) only then we can stop monitoring the platelets counts.

He can continue his studies with moderate activity.

Mental exercises are not known to drop the platelets counts.

Excess fluid intake like fruit juices to be encouraged.

Hope the query is answered.

All the best for the exams.

Thanks
Above answer was peer-reviewed by
 
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