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Is Platelet Transfusion Advisable When With A Platelet Count Of 83000?
Question: Hello Doctor
My Mother condition is stable now. My father also has typhoid with Platelet count 83K. The report is attached.We will see the doctor at 4pm today to start medication immediately. His diet is nearly nutritious.
He doesn't have fever, just weakness and pain in the legs.
With 83K Platelet count, Do you recommend Platelet addition in Hospital. If yes, what type pf Platelet addition would that be. Blood Bank has asked me to confirm, and there are two types.
My Mother condition is stable now. My father also has typhoid with Platelet count 83K. The report is attached.We will see the doctor at 4pm today to start medication immediately. His diet is nearly nutritious.
He doesn't have fever, just weakness and pain in the legs.
With 83K Platelet count, Do you recommend Platelet addition in Hospital. If yes, what type pf Platelet addition would that be. Blood Bank has asked me to confirm, and there are two types.
Brief Answer:
He can be observed for bleeding withholding platelet transfusion for some
Detailed Answer:
Hello XXXXXXX
Hope you are well.
Having gone through your father`s reports I am of the opinion that his widal test is borderline positive. He is not running fever. So diagnosis of typhoid is still not confirmed. Has he been given anti typhoid antibiotics? You may consult your local physician for the correct dosage and duration as you did in case of your mother.
Coming to his platelet count-I will say that it is not alarmingly low. Does he have any bleeding from gums, nose or small red spots(called petechiea) on the body which come in crops? In my opinion platelet transfusion is not warranted at the moment. However he should be under close observation for any evidence of bleeding from any where. He can even be put in the hospital for observation. You can get his platelet count repeated and as I had mentioned earlier the platelet count rises as rapidly as it falls.
Coming to the type of platelet transfusion, I am not sure what does the blood bank person mean. Does he mean pooled platelet transfusion or apheresis platelets. In that case apheresis will be better because risk of transfusion related infections is low.
Take care.
He can be observed for bleeding withholding platelet transfusion for some
Detailed Answer:
Hello XXXXXXX
Hope you are well.
Having gone through your father`s reports I am of the opinion that his widal test is borderline positive. He is not running fever. So diagnosis of typhoid is still not confirmed. Has he been given anti typhoid antibiotics? You may consult your local physician for the correct dosage and duration as you did in case of your mother.
Coming to his platelet count-I will say that it is not alarmingly low. Does he have any bleeding from gums, nose or small red spots(called petechiea) on the body which come in crops? In my opinion platelet transfusion is not warranted at the moment. However he should be under close observation for any evidence of bleeding from any where. He can even be put in the hospital for observation. You can get his platelet count repeated and as I had mentioned earlier the platelet count rises as rapidly as it falls.
Coming to the type of platelet transfusion, I am not sure what does the blood bank person mean. Does he mean pooled platelet transfusion or apheresis platelets. In that case apheresis will be better because risk of transfusion related infections is low.
Take care.
Above answer was peer-reviewed by :
Dr. Priyanka G Raj
Hi Doctor
Find the answers below:
Has he been given anti typhoid antibiotics? No.
Does he have any bleeding from gums, nose or small red spots(called petechiea) on the body which come in crops? No.
How frequently the Platelet count should be done. Please confirm.
Find the answers below:
Has he been given anti typhoid antibiotics? No.
Does he have any bleeding from gums, nose or small red spots(called petechiea) on the body which come in crops? No.
How frequently the Platelet count should be done. Please confirm.
Brief Answer:
Platelet count should be done daily till it starts rising.
Detailed Answer:
In my opinion your father is improving and can be kept under observation. Platelet count should be repeated daily till it starts rising.
Regarding typhoid, widal should also be repeated 1 week after the first test. If there is rise in titre then it may be considered positive.
Platelet count should be done daily till it starts rising.
Detailed Answer:
In my opinion your father is improving and can be kept under observation. Platelet count should be repeated daily till it starts rising.
Regarding typhoid, widal should also be repeated 1 week after the first test. If there is rise in titre then it may be considered positive.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Priyanka G Raj
Answered by
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