Explanation Of The Results Of Platelet Lab Examinations, SGPT And SGOT?

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Good evening, I want to ask My sister, a 23-year-old woman, a week ago was very hot. After checking the laboratory, the platelets turned down. After that my sister was treated at the nearest clinic. Because his platelets were getting lower my sister was finally referred to the hospital. There was carried out a platf 2 transfusion of platelets. But still, the platelets are still 29,000. After checking again the SGPT is 274 and the SGOT is 340. What do you think is my brother’s illness?

1 Answer:

Hello Tyas. thank you for asking to HealthReplies.com.

Let me introduce myself, Dr. Rio will try to answer your question.

Previously, I was sorry about your brother's current situation. Fever is an increase in body temperature above 37.5'C which occurs as a body response that indicates a systemic inflammatory reaction in the body. Fever can occur in many conditions and diseases such as dengue fever, typhus, upper respiratory tract infections, urinary tract infections, viral infections, and many others that are not possible to be mentioned one by one.

DHF / dengue hemorrhagic fever is an infection in the body due to dengue virus spread by Aedes aegyptid and Aedesalbopictus mosquitoes. Symptoms that arise from this disease are not so specific. Symptoms are common in many diseases such as fever, headaches, weakness, loss of appetite, etc. It needs to be distinguished between dengue fever, and dengue hemorrhagic fever. In dengue fever is a mild form of dengue fever, there are no signs of bleeding in the body, but dengue virus is in the blood, and a decrease in platelets. Whereas in dengue hemorrhagic fever there are signs of bleeding such as nosebleeds, bleeding gums, black bowels. Symptoms appear 4-7 days since mosquito bites (incubation period of DHF), and can last for 10 days.

In diagnosing the existence of dengue fever, or dengue hemorrhagic fever a doctor will conduct anamnesis, physical examination, and supporting examination to establish the diagnosis. In both cases the thrombocytopenia will occur / a decrease in platelet levels <150 thousand and will continue to decrease during the infection in the body. Platelets themselves function to stop bleeding.

Respond to the case that happened to your brother. There are complaints of fever accompanied by a periodic decrease in platelets which can indicate to you a dengue virus infection, the condition of dengue fever and dengue fever can occur. Regarding the increase in liver enzymes, namely SGOT / SGPT that occurs in your sister occurs due to one of the complications of the infection above is liver cell damage and can lead to acute liver failure. Other complications that can occur include DSS / Dengue shock syndrome, seizures, damage to the heart, brain, and lungs, blood clots, to death. But the need to think about other possibilities such as hepatitis, liver tumors, blockage of the liver channels by stones, fatty liver, etc. This can also increase SGOT / PT in the blood.

There is no specific treatment to cure the infection by dengue virus, what can be done at this time is to maintain the stability of your brother's condition to exceed the limits of dengue virus infection itself which will gradually disappear which is about 7-10 days, and regarding the possibility of liver disorders to consult with doctor who treats your sister for further treatment.

Right now what you can do is:

 Ask your sister to rest. Take fluids to keep the blood from thickening, and monitor the urine. Evaluate your brother's chapter, color, and consistency. Follow all the instructions instructed by the doctor who is treating your brother right now. That's all my answer, thank you very much :)

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