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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Platelet Count Of 99 Normal While Having Typhoid Fever?

Hello my daughter's platelet count is 99 have typhoid fever, taking IV antibiotics. How much should be the lowest platelet to be obtained, the doctor says it is normal for having typhoid, she has been in the hospital for 5 days already... any tests to know? she has no fever... is it possible to have low fever? thanks

Thu, 19 May 2016
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General & Family Physician 's  Response
Hello, thanks for using Healthcaremagic. I had gone through the data you have posted.
normal platelet count is 1,50,000- 4,00,000
differential diagnosis of fever with thrombocytopenia:
1) viral infections like Dengue will cause thrombocytopenia.
wbc count helps us to give an idea regarding the etiology
in viral infections usually wbc count will decrease and there will be lymphocyte predominance.
do dengue IgM to look for that.

2)malaria: it is common to find thrombocytopenia in malaria.
do malaria card method and smear method for detection. if it is negative, repeat test when febrile.

3) associated B12 defeciency; B12 deficiency may produce pancytopenia ,
thrombocytopenia may be a part of that

4) scrub typhus:

5) rarely ITP

it is not common to find low platelet count in typhoid fever. so kindly relook at the diagnosis. hope this helps
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Is Platelet Count Of 99 Normal While Having Typhoid Fever?

Hello, thanks for using Healthcaremagic. I had gone through the data you have posted. normal platelet count is 1,50,000- 4,00,000 differential diagnosis of fever with thrombocytopenia: 1) viral infections like Dengue will cause thrombocytopenia. wbc count helps us to give an idea regarding the etiology in viral infections usually wbc count will decrease and there will be lymphocyte predominance. do dengue IgM to look for that. 2)malaria: it is common to find thrombocytopenia in malaria. do malaria card method and smear method for detection. if it is negative, repeat test when febrile. 3) associated B12 defeciency; B12 deficiency may produce pancytopenia , thrombocytopenia may be a part of that 4) scrub typhus: 5) rarely ITP it is not common to find low platelet count in typhoid fever. so kindly relook at the diagnosis. hope this helps