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What Does This Test Report For Dengue Fever Indicate?

Posted on Mon, 12 Oct 2015

Question: Hello Dr.

Please find attached Report for patient for dengue and other tests.As per Dr here, looks like viral....but fever went till 105 in last 2 days and now its normal after viral infection dose.

please suggest.

Answered by Dr. Mohammed Taher Ali (49 minutes later)

Brief Answer:
The result of the test for Dengue fever not uploaded.

Detailed Answer:
Dear xxxx, Hi
Welcome.

I have gone through the uploaded results for various lab tests but unfortunately the result for the serology test for Dengue fever is not uploaded.

The other results are as follows:
Hemoglobin & PCV is low which is suggestive of anemia
platelet count is low and ESR is high suggestive of some sort of viral infection
By doing Widal test the possibility of Typhoid fever is ruled out.
Rest of the other lab tests are within normal range.

Following information is required:

1. Since how long you have been having fever? Do you have any other symptoms like chills or rigors, cough with or without sputum?
2. Kindly upload the result for Dengue fever done if any.

Continue to take the prescribed treatment if the fever subsides.
Take plenty of oral fluids, fruit juices, soft diet.
Avoid hot and spicy foods which may irritate your stomach causing gastritis.

Hope I could answer your query.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Mohammed Taher Ali (32 minutes later)

Hi,

I had uploaded one image of serology that shows negative

Answered by Dr. Mohammed Taher Ali (1 hour later)

Brief Answer:
Features could be due to viral fever

Detailed Answer:
Dear xxxx, Hi
Welcome back.
Thanks for your kind reminder.

If he has no other symptoms like chills with rigors, or cough with or without sputum, it seems to me that the patient is most probably suffering from viral fever.
Let him continue the prescribed treatment along with plenty of oral fluids, fruit juices, soft diet, etc.

If the symptoms recur then a blood culture and sensitivity is recommended.

Hope I could answer your query.

Best regards.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Mohammed Taher Ali (15 hours later)

it's dengue and 45000 platlets count

Answered by Dr. Mohammed Taher Ali (2 hours later)

Brief Answer:
He needs to be monitored.

Detailed Answer:
Dear xxxx, Hi
Welcome back.
Thanks for your kind reminder.

Noted the recent platelet count.

Has he still got fever?
Any other symptoms like chills with rigors, cough or bleeding from the nose?

Best regards.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Mohammed Taher Ali (4 hours later)

We have admitted the patient in the hospital. Blood platelet has been started inserting into the body. Are there any other precautions we need to take?

Also patient was noticing black stool with little bleeding before getting admitted. Please suggest the best medication.

Answered by Dr. Mohammed Taher Ali (12 minutes later)

Brief Answer:
Let him continue the same treatment.

Detailed Answer:
Dear XXXX, Hi
Thanks for your reminder.

Since there is bleeding from his intestines (black stool) so his platelets are low, so let him continue to take the platelet concentrates as long as the hematocrit and the platelet count restores to the normal level.

The doctors in the hospital will take care of him so have full trust on them.
May be he also needs fresh frozen plasma or blood transfusion to correct the associated anemia due to bleeding.

Wishing your patient a quick and smooth recovery.

Best regards.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Mohammed Taher Ali (39 minutes later)

latest count just before giving 4 units of blood platelets was 30000. since evening there is no loose motion with dark stool.

Answered by Dr. Mohammed Taher Ali (1 hour later)

Brief Answer:
It seems there is no internal bleeding.

Detailed Answer:
Dear XXXX, Hi
Thanks for the latest briefing.

Glad to know that there is no internal bleeding as there is no loose motion with dark stool. That means he is responding to the treatment.

Best wishes for him.

Above answer was peer-reviewed by : Dr. Neel Kudchadkar

Follow up: Dr. Mohammed Taher Ali (10 hours later)

vomiting is frequent after eating anything....so along with platelet infusion , drips are on.please suggest.request you to provide it contact if possible.here Drs are just ok

Answered by Dr. Mohammed Taher Ali (1 hour later)

Brief Answer:
You may communicate through health care magic.

Detailed Answer:
Dear XXXX, Hi
Thanks for the latest briefing.

Since he is getting treated in a hospital, please do not worry about the health care.
The doctors are experienced enough to provide the best needed care for him.
Vomiting can be controlled by giving Ondansetron tablet of injection if needed.

Since there is no loose motion containing the dark stool, so the internal bleeding is controlled, nothing to worry. He will improve in due course of time.

You may communicate to me through health care magic solutions.

Best regards.

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

Follow up: Dr. Mohammed Taher Ali (24 hours later)

plalets are now 51000....only worry left is dark stool that happened in morning today, however dark stool was not loose rather normal.

Answered by Dr. Mohammed Taher Ali (2 hours later)

Brief Answer:
Platelets count is increasing, it is a good sign.

Detailed Answer:
Dear XXXX, Hi
Thanks for the latest briefing.

Glad to know that the platelets are increasing in number after the infusion.
The color of the stool will gradually subside as the platelets count return to the normal level.

Best regards.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Mohammed Taher Ali (15 minutes later)

one more thing haemoglobin is 16.9. female patient

Answered by Dr. Mohammed Taher Ali (58 minutes later)

Brief Answer:
It is slightly raised.

Detailed Answer:
Dear XXXX, Hi
Thanks for the latest briefing.

Hemoglobin level is slightly high.
What about the RBC count and the Hematocrit (Packed cell volume)?

Regards.

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

Follow up: Dr. Mohammed Taher Ali (3 days later)

platelet controlled...discharged from hospital.....vomiting is happening sometimes.

Answered by Dr. Mohammed Taher Ali (1 hour later)

Brief Answer:
He may continue to take the treatment for vomiting.

Detailed Answer:
Dear XXXX, Hi
Thanks for the latest briefing.

Pleased to know that the patient is discharged after proper treatment.
Do not give him the hot and spicy foods, let him continue soft diet, fruit juices, soups.
If the vomiting continues to occur you can give him Ondansetron tablet.

Wishing him best of his health.

Kindly rate the answers given if you are convinced /

Best regards

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Above answer was peer-reviewed by : Dr. Vaishalee Punj