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What Does My Blood Test Report Indicate?

Posted on Fri, 2 Jan 2015

Question: Hi Doctor ,

My Wife age 32 years ,weight 65, was suffering with intense shivering and fever since Sat evening .She also feels vomiting and pain in knees and joints. today i visited a Medical Specialist he injected PERFALGAN INJ l and given LANOL-ER TAB .apart from this he also continued below medicine as advised by some other Doctor
Azicox 250 mg
Lumether Forte DT
Flareon
Vital -Ez
Livegem Syrup

Also conducted blood test the results are as follows :-
SGOT-41.0
SGPT-55.0

Red Blood Cells
R.B.C. Count-4.37
Hemoglobin-12.3
Packed cell Volume-38.7
MCV-88.7
MCH-28.2
MCHC-31.8
RDW-13.3
White Blood Cells
Total W.B.C count-7050/cumm
Differential Count
Neutophils-79.9
Lymphocytes-13.2
Monocytes-6.2
Eosinophils-0.4

Platelet Count -198X10^3/cumm

MPV-8.6
PS -Normocytic Normochromic
Malarial Parasite- Not Detected

Dengue IgG- Negative
Dengue IgM -Negative
Dengue NS1 Antigen- Positive
(test method Rapid)
(Immuno -Chromatographic test)

SHALL I ADMIT HER IN HOSPITAL OR DENGUE TREATMENT IS POSSIBLE FROM HOME .

WE HAVE ONE AND HALF YEAR OLD CHILD ALSO.

KINDLY ADVICE .

Answered by Dr. Arun (45 minutes later)

Brief Answer:
Early dengue stage with normal platelet count...

Detailed Answer:
Hello ,

I understand your concern.

I am Dr. Arun Tank, infectious disease specialist, answering your concern.

The important summary of whole of your question is your wife is having NS1 antigen test for dengue positive, Dengue Ig M and Ig G test is negative. platelet count is 198 x 10^3 with fever.

This results is suggestive of early Dengue stage (NS1 Positive, Ig M negative) with normal platelet count (198 x 10^3) and no previous history of dengue infection (Ig G negative).

In such a situation there is no need to admit in the hospital immediately. you can look at the platelet count constantly. If your wife's platelet count drops suddenly or if counts drops less than one lac than you can immediately admit her to the hospital.

Check for the any sign of hemorrhage, if the any minor sign of hemorrhage is seen admit her immediately to the hospital.

Till this time give her a fluid therapy. As such there is no treatment apart from the fluid therapy for dengue. Give him fluids as much as possible. She can take juicy fruits.

You can give her cetrizine if the rash and itching is seen during this episode. Please give the drug under doctors guidance.

I will be happy to answer your further concern you can contact me here or you can contact me on bit.ly/DrArun
We wish you a best health at healthcare magic.
Thank you,
Dr. Arun Tank

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Arun (19 hours later)

Hi Doc ,

Thanks for your valuable suggestions. She is feeling better than yesterday and visited the same physician.He advised to continue LANOL-ER TAB and repeated the test . Kindly confirm that treatment is going on right direction . What is the recovery time from this ?

Thanks & Rgds

Answered by Dr. Arun (2 hours later)

Brief Answer:
Treatment is right and lab report will suggest of improvement...

Detailed Answer:
Hello,

Thank you for asking query.

Good to hear that her condition is improving.

Yes prescribed drug Lanol-ER is right drug it is a paracetamol.

If the platelet count is increasing on laboratory reports, your wifes condition is improving.

You can ask for further queries here or you can ask me on bit.ly/DrArun.

Thank you,

If your query is resolved close the answer and rate me.

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj