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Suggest Treatment For Fever, Congestion And Viral Respiratory Infection

Posted on Tue, 13 Dec 2016

Question: I have a question about my 9 month old daughter. she had a routine cbc done and everything was normal except for a platlet count of 821,000. To rule out a lab error they did the test 3 days later and they were still elevated but down a bit to 775,000. 2 weeks ago she had a respiratory viral infection with fever and congestion but is better now. from my research this is likely a reactive thrombocytosis and will take a 6 weeks or so to return to normal. is this an accurate statement or could there be something more severe going on?

Answered by Dr. Diptanshu Das (38 minutes later)

Brief Answer:
Yes

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have carefully gone through your query. Most often, an elevation of platelet count (thrombocytosis), as in this case, is indeed reactionary or in response to some inflammatory cause. The presence of viral infection could be the possible reason. It may take a few weeks (after the underlying inflammation subsides) to come down to normal.

Let me know if I could help further.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Diptanshu Das (4 hours later)

thanks. I actually just went over the rest of her labs as I have a copy and the wbc is up, as is her monocytes, and lymphocytes. this all points to something viral correct? if it was bacterial neutrophils would be high?

Answered by Dr. Diptanshu Das (44 minutes later)

Brief Answer:
Please upload the reports.

Detailed Answer:
I would insist you to upload the report or mention the details parametrically. In infants even a WBC count of 25,000 may be considered normal (which would otherwise have been high in case of adults). So, a proper correlation is needed.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Diptanshu Das (10 hours later)

I attached the first on which was done on Tuesday and another one that was done yesterday.

Answered by Dr. Diptanshu Das (1 hour later)

Brief Answer:
Viral infection.

Detailed Answer:
Thanks for writing back. I have checked both the reports. Indeed it seems to be nothing other than a viral infection.

Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar