Fever Accompanied By Decreased Platelets?

Illustration of Fever Accompanied By Decreased Platelets?
Illustration: Fever Accompanied By Decreased Platelets? aafp.org

Good morning. I am currently 18 years old. A few days ago, to be exact, 13 and 14 I caught a fever which even drinking fever-reducing didn’t work. Then on day 3 it was down but still a bit warm. So I was curious to do a complete blood test with Widal on day 5, it turned out that my platelets dropped to 139. Do I have any symptoms of DHF?

1 Answer:

Hello. Thank you for the question on HealthReplies.com.

Normal platelet levels are in the range 150-400 thousand / mm3. Based on this range, your platelets do experience a slight decrease.

Fever accompanied by a decrease in platelets is most likely to lead to dengue fever. On days 1-3, the patient usually has a high fever. On 3-4 days the fever drops but this is a critical phase where the patient usually feels weaker, and the condition can worsen due to the discharge of blood vessels, which can lead to fainting and even if not handled properly it can lead to death. On day 6-7 / 8 the fever is high again and this is the healing phase. Besides fever and decreased platelets, dengue fever is also characterized by symptoms of headache, muscle aches, and bleeding in the form of red spots on the skin, nosebleeds, bleeding gums, bloody bowel movements, etc. The main principle of therapy in dengue fever is giving fever and fluids.

Besides that, fever can also be caused by other things, such as typhoid fever, malaria, leptospirosis, lung infections, upper urinary tract infections, etc.

Meanwhile, the decrease in platelets can also be caused by autoimmune diseases such as Immune Thrombocytopenic Purpura (ITP).

To confirm your diagnosis, you should check with your doctor for a direct physical examination and if necessary other diagnostic support tests are done besides the platelet count. If it is due to DB, the doctor will analyze the severity of your condition. If there is a severe leakage of plasma blood vessels or a lowered platelet count, you may be considered hospitalization. If it is not DB, the doctor will do a tracking for other possible diseases.

As for what you should do:

Consumption of 2-2.5 liters of water per day Consumption of fruits and vegetables rich in antioxidants Get enough rest, limit physical activity To reduce fever, you can first take over-the-counter fever-reducing drugs such as paracetamol

If there are signs of bleeding as I mentioned above, the body becomes more limp and tends to be very drowsy, the fever is very high, don't delay to check with the nearest doctor or emergency room

That's all the explanation from me. May be useful

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