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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do My Platelet And RBC Levels Indicate While Having Dengue?

Hi , My son was identified with Dengue , He was in ICU for almost 8 days , Now he is dischrged, we took him home 4 days back .. We have to consult doctor again now with Liver Function Test. yesterday we did CBC, Liver Function and Electrolyte .. - 10 NEUTROPHILS 39.6 % 40-80 LYMPHOCYTE PERCENTAGE 54.1 % 20-40 MONOCYTES 4 % 0-10 EOSINOPHILS 1.8 % 0 – 6 BASOPHILS 0.2 % 2 IMMATURE GRANULOCYTE PERCENTAGE(IG%) 0.3 % 0-0.5 NEUTROPHILS - ABSOLUTE COUNT 1.8 X 10³ / μL 2 - 7 LYMPHOCYTES - ABSOLUTE COUNT 2.46 X 10³ / μL 1.0 - 3.0 MONOCYTES - ABSOLUTE COUNT 0.18 X 10³ / μL 0.2 - BASOPHILS - ABSOLUTE COUNT 0.01 X 10³ / μL 0.02 - 0.1 EOSINOPHILS - ABSOLUTE COUNT 0.08 X 10³ / μL 0.02 - 0.5 IMMATURE GRANULOCYTES(IG) 0.01 X 10³ / μL 0-0.3 TOTAL RBC 3.25 X 10^6/μL 4.5-5.5 NUCLEATED RED BLOOD CELLS Nil X 10³ / μL NUCLEATED RED BLOOD CELLS % Nil % HEMOGLOBIN 9.3 g/dL 13-17 HEMATOCRIT(PCV) 29 % 40-50 MEAN CORPUSCULAR VOLUME(MCV) 89.2 fL 83 - 101 MEAN CORPUSCULAR HEMOGLOBIN(MCH) 28.6 pq 27-32 MEAN CORP.HEMO.CONC(MCHC) 32.1 g/dL 31.5-34.5 RED CELL DISTRIBUTION WIDTH - SD(RDW-SD) 44.8 fL 39-46 RED CELL DISTRIBUTION WIDTH (RDW-CV) 14.4 % 11.6-14 PLATELET DISTRIBUTION WIDTH(PDW) 10.3 fL 9.6-15.2 MEAN PLATELET VOLUME(MPV) 10 fL 6.5-12 PLATELET COUNT 547 X 10³ / μL 150-400 PLATELET TO LARGE CELL RATIO(PLCR) 23.5 % 19.7-42.4 PLATELETCRIT(PCT) 0.55 % 0.19-0.39 Liver Function Test: BILIRUBIN - TOTAL PHOTOMETRY 0.36 mg/dl 0.3-1.2 BILIRUBIN -DIRECT PHOTOMETRY 0.11 mg/dl ALKALINE PHOSPHATASE PHOTOMETRY 188 U/l 53 - 128 GAMMA GLUTAMYL TRANSFERASE (GGT) PHOTOMETRY 85.7 U/l PROTEIN - TOTAL PHOTOMETRY 7.6 gm/dl 5.7-8.2 ALBUMIN - SERUM PHOTOMETRY 3.8 gm/dl 3.2-4.8 SERUM GLOBULIN PHOTOMETRY 3.8 gm/dL 2.5-3. SERUM ALB/GLOBULIN RATIO CALCULATED 1 Ratio 0.9 - 2Please suggest why platlatte is at higher end and RBC , Hemoglobin at lower side
Mon, 2 Apr 2018
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Pathologist and Microbiologist 's  Response
Hello,

All parameters are within normal limits except for the lymphocytes. Usually, in viral fever lymphocytes will get increased and platelets will decrease.

In your baby increased platelets might be because of treatment changes. If platelets decrease then you have to worry.

Meanwhile, count will normalize. So, don't worry about the baby.

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

Regards,
Dr. Siddartha
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What Do My Platelet And RBC Levels Indicate While Having Dengue?

Hello, All parameters are within normal limits except for the lymphocytes. Usually, in viral fever lymphocytes will get increased and platelets will decrease. In your baby increased platelets might be because of treatment changes. If platelets decrease then you have to worry. Meanwhile, count will normalize. So, don t worry about the baby. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Siddartha