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Dengue fever for 5 days, Dr adviced for blood transfusion. Is he critical ?

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my brother has been diagnosed with dangue fever for last five days and his some p-counts are 0000 , doctor advised for blood donation to him , is he in danger situation ?
Posted Tue, 17 Apr 2012 in Infections
Answered by Dr. Gowri Kulkarni 23 minutes later

Thank you for posting in the query.

Here is a little information about Dengue fever:

Dengue Fever is a viral illness transmitted via mosquito (Aedes) bite. A severe form of the disease known as Dengue Hemorrhagic Fever (DHF) presents with increased bleeding tendency due to decreased platelet count.

Symptoms of Dengue:
1. High grade fever, with accompanying chills, headache and eye ache.
2. Bone pain and joint aches
3. Nausea, vomiting, loss of appetite, abdominal pain, cold
4. Skin rash

Your doctor would mostly ask for one or more of the following investigations.
1. Complete blood count especially Platelet count
2. Serum Electrolytes and Liver function tests (esp. in DHF)
3. Viral antibody detection by ELISA

Treatment and Prognosis of Dengue:
Like most other viral illnesses, Dengue runs its course and fades off with minimal supportive treatment like antipyretic, anti-cold and fluid replacement therapy.
"Hospitalization is required if DHF is detected (Platelet count <1.5 lakh/cu mm)". Treatment includes i.v fluids, transfusion of platelet concentrate, correcting the electrolyte abnormalities etc.

The convalescence period is directly related to the pre-morbid immunity of the affected individual. "Convalescence is especially prolonged in DHF with complaints of weakness".

Coming to your query,
1. Your brother has been diagnosed with Dengue.
2. Kindly confirm with the treating physician if this count that you have mentioned is the platelet count. If the number you have mentioned is his platelet count (normal count is 1.5 - 4 lakh / cu mm) then he would require platelet concentrate transfusion.
3. The seriousness of his condition is primarily determined by his platelet counts and presence or absence of bleeding tendency.

Kindly confirm the exact report by uploading them, so that I could help you better.

Hope I answered your query.


Dr Gowri

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