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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have A Drop In The Count Of Platelets. Have Dengue Fever. What Should Be Done?

i am diagnozed of suffering from dengu fever since May 11-2013. i am taking treatment in consultation with doctor

Doctors are continiously monitoring CBC RESULTS

The WBC level is increasing byt platelets counting droping from 1.65 lakhs to 70,000
Doctors says that increasing WBC is positive sign of recovery but platelets count should not drop below 40,000.
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Mon, 20 May 2013
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  User's Response
Hello! Firstly have you been correctly diagnosed for Dengue fever? It is caused by the bite of AEDES mosquitoes which are also aggressive day biters recognized by their black & white stripes - transmitting the Dengue VIRUS DENV-1 to 4).
PCR test for viral antigen like NS1 has 90% sensitivity (true positive for sick patient) in first week; four folds increase in Ig G antibody titres in two weeks is significant - so this is a post-treatment confirmatory test; Ig M antibody indicates previous infection.
The virus does enter WBCs but infect the stromal cells in bone marrow to cause THROMBOCYTOPENIA (platelet count below 50,000 /cu mm) to cause DHF (Dengue Hemorrhagic fever) - Grade I - easy bruising/ positive tourniquet test, Grade II - spontaneous bleeding like bleeding from gums, petechial hemorrhage in shin/ legs. DHF may progress to more severe DSS (Dengue Shock Syndrome) - Grade III - clinical evidence of shock to Grade IV - blood pressure and pulse not detected due to shock.
Treatment is mainly supportive by maintaining hydration orally, avoid aspirin, avoid invasive procedures; whole blood transfusion is preferred over FFP (Fresh Frozen Plasma) transfusion; platelet transfusion alone is considered when platelet count falls below 10,000/ cu mm. When IV fluids are given care should be taken to treat FLUID OVER-LOAD with diuretics especially after initial phase of the disease is over.
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Have A Drop In The Count Of Platelets. Have Dengue Fever. What Should Be Done?

Hello! Firstly have you been correctly diagnosed for Dengue fever? It is caused by the bite of AEDES mosquitoes which are also aggressive day biters recognized by their black & white stripes - transmitting the Dengue VIRUS DENV-1 to 4). PCR test for viral antigen like NS1 has 90% sensitivity (true positive for sick patient) in first week; four folds increase in Ig G antibody titres in two weeks is significant - so this is a post-treatment confirmatory test; Ig M antibody indicates previous infection. The virus does enter WBCs but infect the stromal cells in bone marrow to cause THROMBOCYTOPENIA (platelet count below 50,000 /cu mm) to cause DHF (Dengue Hemorrhagic fever) - Grade I - easy bruising/ positive tourniquet test, Grade II - spontaneous bleeding like bleeding from gums, petechial hemorrhage in shin/ legs. DHF may progress to more severe DSS (Dengue Shock Syndrome) - Grade III - clinical evidence of shock to Grade IV - blood pressure and pulse not detected due to shock. Treatment is mainly supportive by maintaining hydration orally, avoid aspirin, avoid invasive procedures; whole blood transfusion is preferred over FFP (Fresh Frozen Plasma) transfusion; platelet transfusion alone is considered when platelet count falls below 10,000/ cu mm. When IV fluids are given care should be taken to treat FLUID OVER-LOAD with diuretics especially after initial phase of the disease is over.