Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

152 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Does low platelet count cause EBV?

My daughter was hospitalized due to a patella count of 4. The diagnosis was ITP. Leukemia was ruled out through a bone marrow aspiration...iv steroids were started and she was discharged with the hematology said she was positive for EBV...I can t find any info about low platelets and Ebstein Barr....she is 18 and healthy bt overweight....her last pltcount was 54 two days low platelets caused by EBV?
Tue, 16 Apr 2019
Report Abuse
General & Family Physician 's  Response

Thrombocytopenia is defined as a platelet count below the lower limit of normal (For severe thrombocytopenia is an extremely rare complication of acute Epstein Barr Virus (EBV) infection. EBV infection usually causes hematological abnormalities, mainly atypical lymphocytosis(high lymphocyte count), which is a feature of infectious mononucleosis, and uncomplicated cases often present with mild decreases in platelet counts. Does she has acute thrombocytopenia? If her thrombocytopenia from EBV , IV steroid and oral steroid will be effective and full recovery of the platelet count. EBV infection may happen in children, adolescents and adults and this differential diagnosis should be considered in every patient presenting with acute thrombocytopenia. The prognosis for most who are infected with EBV is usually good as most people recover completely without any of complications.

You should follow up with your home doctor after you take a course of steroid treatment.

ITP is caused by the immune system mistakenly attacking and destroying platelets. In most children with ITP, the disorder follows a viral illness, such as the mumps or the flu. The spleen, which helps your body fight infection, recognizes the antibodies and removes the platelets from your system. The result of this case is a low number of platelets in circulation.

Risk factor is your sex (women are two or three times more likely to develop ITP than men and viral infection).

To make the diagnosis of ITP you should exclude other possible causes of bleeding and low platelet counts, such as an underlying illness or medications your daughter may be taking.

My practice I also give steroid to the patients as the first choice of treatment. If it does not improve we will use the other medicine for suppressing your immune system. Surgery to remove spleen if her condition is severe or persists despite initial drug treatment.

She should avoid activities that could cause injury, avoid alcohol, watch for sign of infection.

Hope I have answered your query. Let me know if I can assist you further.

Dr. Heang Chan Raksmey, General & Family Physician
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on

Related questions you may be interested in

doctor1 MD

hello doctor, i am sameer from Nepal my mom died last week by brain hamrage and doctor said that it is because of low count of platelate in blood. please tell me about this. i want nomore death caused by brain hamrage.......tell me what is the causes of low platelates in blood?

doctor1 MD

hi, i had blood test results back last week and its came about i have a low platelet count, i have had two tests now and low on both. i am tired and very dizzy almost all of the time, could you tell me a little more please... my doctor has asked me to go back for more tests in two months time, im worried and dont really understand why i have to wai so long. i am a 22 yr old female. i have suffered with panic attack for years too amd feel they are just getting worse, please help. thanking you.

doctor1 MD

Hello, I pulled my medical records for the past few years and I have noticed a decline off and on with my Platelet Count. It was 191 4/22/2009, and then it started declinging. The biggest decline was in 5/17/2010 where it was 105. Recently I had blood work done and it was 135. Is this something that I need to worry about? Is it something that seems to be cancer or something of that nature. I have panic attacks severely. I should be taking Zoloft 50mg, but stop over a month ago, and I am a 29 year old female. I have high cholesterol, and low HDL of 27. I have sharp pain in my left arm off and on, and tender stomache, could be due to acid reflux. I had a clean Heart Cath done 11/2009, due to my panic attacks and wanting reassurance. Please let me know if this is something that I should be concerned with.