Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Is The Prognosis Of A Person Suffering With Dengue?

Hello dr, Please explain on these conditions. One of relative is suffering from dengue from last week? Presently his platelet count in nearly 12000. And sgot /sgpt levels are over 9000. Yersterday had some gum bleeding and now settled.( he is heavy alchoholic). In the movemwnt his other para meters are normal. BP/ PULSE/ SATU... Dr are stating presently he is stable. Just wanna know what is his actual situation. Is he recovering? Is he in worst condition? If he is in worst condition what is next level
posted on Sun, 23 Jul 2017
Twitter Sat, 25 Nov 2017 Answered on
Twitter Sat, 25 Nov 2017 Last reviewed on
Report Abuse
General & Family Physician,  's  Response
Hello.

Dengue has created a havoc in the recent months.

Relative or not it is always advisable to know what happens to a patient with dengue.

When we confirm dengue fever has affected a patient we monitor his platelet levels and observe for his signs and symptoms.

Any time platelet less than 10,000 we transfuse platelets. If he has no symptoms and is completely fine that's another issue.

In your case he has a platelet of less than 12000. Please repeat a platelet count again in 24hours and see if it is increasing. If yes, repeat again after next 24 hours. gradual increase indicates the patient is improving. if not, platelets have to be transfused.

In any case if the patient presents with bleeding and platelets less than 25000 we transfuse immediately. So as to prevent any further loss of platelets. Since your relative is also an alcoholic, as indicated by severe rise in liver function tests, it is advisable to transfuse one pint of platelets. But it is completely subjective to your doctor. If he feels the patient can sustain without transfusion then it is his call.


Dr. Karan Shekar.
I find this answer helpful

1 Doctor agrees with this answer

Note: For further follow up on related General & Family Physician Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
What Is The Prognosis Of A Person Suffering With Dengue?

Hello. Dengue has created a havoc in the recent months. Relative or not it is always advisable to know what happens to a patient with dengue. When we confirm dengue fever has affected a patient we monitor his platelet levels and observe for his signs and symptoms. Any time platelet less than 10,000 we transfuse platelets. If he has no symptoms and is completely fine that s another issue. In your case he has a platelet of less than 12000. Please repeat a platelet count again in 24hours and see if it is increasing. If yes, repeat again after next 24 hours. gradual increase indicates the patient is improving. if not, platelets have to be transfused. In any case if the patient presents with bleeding and platelets less than 25000 we transfuse immediately. So as to prevent any further loss of platelets. Since your relative is also an alcoholic, as indicated by severe rise in liver function tests, it is advisable to transfuse one pint of platelets. But it is completely subjective to your doctor. If he feels the patient can sustain without transfusion then it is his call. Dr. Karan Shekar.