Solution To Overcome Dengue Fever Which Has Been 10 Days?
, my child is 19 months old, normal body weight is 10kg but since the illness he has become 9.5kg. my child has a fever from thursday (15 aug), has been given paracetamol but the fever fell 2 hours after given paracetamol, after that the fever was high again. blood check (17 Aug) not seen platelets down, but still fever. (18 Aug) night, finally I brought it to Igd, it turned out that the platelets dropped, dbd. Treated until today (24 aug) platelets have gone up, but the fever is still high even though from the first treated paracetamol given by infusion but the fever fell 2 hours after high fever again. Yesterday (Aug. 23) I took off the infusion because my son’s hands were swollen, from the infusion released until 6 pm the body temperature was normal. Night fever again until this morning. Do you think you still have a fever? Even though platelets have gone up for 3 consecutive blood checks?
Hello Adhe, Thank you for the question.
Does the doctor do a dengue serology or just a blood test to determine platelet levels?
Dengue hemorrhagic fever (DHF) is an infection caused by the dengue virus that is transmitted through mosquito bites. This infection causes a decrease in the level of platelet cells in the blood and leakage of blood vessels which can be potentially life threatening. DHF is a severe form of dengue fever. Symptoms of dengue fever are high fever, headache, pain behind the eyeball, muscle and bone pain, nausea, vomiting, red rash on the skin; while in DHF will be accompanied by symptoms of abdominal pain, shortness of breath, weakness, spontaneous bleeding from the gums, nose, urine, feces.
To diagnose someone with Dengue fever / DHF, it is not enough based on the results of a decreased platelet examination because the decreased platelet level can be caused by infection with other viruses besides the Dengue virus. To make sure your child has Dengue fever / DHF, Dengue serology is needed, which is a blood test to detect the presence of immune substances / antibodies against Dengue virus (IgM and IgG anti-Dengue). If this examination has not been carried out, it cannot be concluded that your child has Dengue / DHF fever. If your child still has a fever to this day, it is usually necessary to find out other possible causes of fever because of Dengue / DHF fever, the fever will subside after 7 days. Some other causes of fever are pneumonia, tuberculosis, typhus, and others. Of course to ensure that further doctor's examination is needed. Please discuss again with the pediatrician who is treating your child. Try asking your doctor about the need for other tests to find out other causes of fever. For now, please try to maintain your child's food and drink intake and allow your child to rest adequately. You can measure your body temperature with a thermometer regularly and record your child's body temperature so that the fever pattern is known and can provide more information to the doctor.
Hopefully this information is useful.