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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Would Cause Prolonged Fever And Low Platelet Count?

What would cause prolonged fever and low platelet count? I have had a fever for 10 days, max temp on average 101.5 at night. I swear profusely in the morning as it breaks and then am afebrile until the evening brings another round. I have also experienced significant headaches with some neck pain, though not typical meningitis type neck pain. More like a bad crick on the right lower skull and the pain expands from there. No other symptoms except intermittent flank pain. I had a UA done to rule out pyelonephritis. It was negative except for large blood, so I was diagnosed with viral infection and kidney stone. Strep and flu A/B were also done and negative. I then had a CBC and CMP done. CMP was unremarkable. CBC showed normal WBC at 7 and low platelets at 136 with possible enlarged platelets on the smear. I am so tired if being sick. Is there anything else I should have checked?
Mon, 17 Nov 2014
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Pathologist and Microbiologist 's  Response
First of all mention the country where you living; there are few possibilities such as Malaria, Dengue or other viral infection or considering your history evening fever and sweating could possibly Tuberculosis. Do visit your consultant and get it checked.
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What Would Cause Prolonged Fever And Low Platelet Count?

First of all mention the country where you living; there are few possibilities such as Malaria, Dengue or other viral infection or considering your history evening fever and sweating could possibly Tuberculosis. Do visit your consultant and get it checked.