What Does This Blood Report Indicate?

Posted on Fri, 12 May 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 12 May 2017 Answered on

Thu, 1 Jun 2017 Last reviewed on

Question : My question is regarding Dengue fever. Baby of age 8 months.

After blood test on Monday doctors confirmed that baby got dengue.

Platelet Count

Tuesday - 150000
Thursday morning - 29000
Thursday Evening - 15000
Friday morning - 39000

Doctor told that platelets transmission is difficult for babies. They told platelets transmission will be last option.

is it showing positive sign as the platelets count
improved

any chance that again it goes down? If like that how long ..

what is the life span on Dengue virus?

Some times baby is getting fever, up to 103 degree.
lose motion is not that much.

Answered by Dr. Sumanth Amperayani (57 minutes later)

Brief Answer:
NO need for platelet transfusion unless there is active bleeding

Detailed Answer:
Hi.... I understand your concern. There is no need for active bleeding unless there is active bleeding in the baby.

Usually appearance of itching in the limbs and glove and stocking pattern of red rash in the limbs is suggestive of recovering dengue.

The trend is definitely showing a positive response. Don't worry.

In dengue fever, rather than platelet count...most important things are -

1. Swelling and water accumulation all over the body.
2. Decreased urine output
3. Respiratory distress
4. Seizures
5. Regarding lab tests - PCV or Hematocrit is more important than platelet count. If it is above 38 and the kid is not drinking water well, it is a danger sign.

If these are not there - you need not worry.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar