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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Treated For Suspected Dengue, Platelet Count Dipped, Liver Enzyme Inflated, Severe Cough. Vomiting After Having Cepodem. Medicine Reaction?

my wife undergone treatment for suspected dengue, platelet count dipped upto 0000 and subsequently improving on higher side. Patient was admitted. Her liver enzyme inflated and she being diabetic bg level shot up. fever persisted. Had severe dry cough throughout night when lying down only and sleepless night. Dr.administered sleeping dose and she was alright. On the day of discharge she had no fever and less cough. Cefozyt cv 325, pantodac dsr, ursocol300mg,becosules along with inj.mixtard 30ml - 0 - 15 ml was prescribed. cefozyt was not available and Dr.gave alternate tab as cepodem 325 mg. She had vomiting episode soon after taking cepodem. Whether it is a reaction to the medicine or because of problem in the food.
Wed, 28 Aug 2013
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General & Family Physician 's  Response
hi
thank you for the query
sir I have gone through your query ...after going through your query I want to discuss with you the complications to be taken care of in dengue fever ...
in dengue fever which is often a hemorrhagic fever may develop complications like renal failure ..elevated liver enzymes ..thrombocytopenia.. and third spaces fluid loss ...a capillary leak do occur in hemorrhagic fevers where fluid accumulates in peritoneum, pleural sac .. pleural effusion is one suc manifestation of capillary leak syndrome ...dry cough in your case could be due to pleural effusion which develops on lying down...I would like to suggest you to get a chest xray done and re-evalute the case once again....I don't think it as a side effect of anti biotic taken....vomittings could be due to cepodem but not cough ...
hope I have answered your query
would welcome follow up queries...
thank you
regards
DR Alekhya
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Treated For Suspected Dengue, Platelet Count Dipped, Liver Enzyme Inflated, Severe Cough. Vomiting After Having Cepodem. Medicine Reaction?

hi thank you for the query sir I have gone through your query ...after going through your query I want to discuss with you the complications to be taken care of in dengue fever ... in dengue fever which is often a hemorrhagic fever may develop complications like renal failure ..elevated liver enzymes ..thrombocytopenia.. and third spaces fluid loss ...a capillary leak do occur in hemorrhagic fevers where fluid accumulates in peritoneum, pleural sac .. pleural effusion is one suc manifestation of capillary leak syndrome ...dry cough in your case could be due to pleural effusion which develops on lying down...I would like to suggest you to get a chest xray done and re-evalute the case once again....I don t think it as a side effect of anti biotic taken....vomittings could be due to cepodem but not cough ... hope I have answered your query would welcome follow up queries... thank you regards DR Alekhya