Platelets

2019-03-26 12:28:37
My cousin had typhoid last year. After that we have seen platelets comes down randomly up to 60k. He didn't had fever and not felt any problem at all. However we are worried and and found actual reason for platelets count random decrease. Please suggest next steps.
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Thrombocytopenia or low platelet count occurs in typhoid fever and also in viral infections like Dengue. However your cousin had typhoid fever last year. The platelet count should have returned to normal within 7 to 14 days of therapy. Is there any bleeding from gums or from any other sites ? Are there reddish purpuric rashes on the skin ? At a platelet count of 60000 there will usually be no bleeding manifestation at all. Dangerously low platelet count is below 20000 to 10000 when intracranial bleed remains a possibility. You need not worry if the count remains stable at 60000. However repeat platelet count, both machine and manual every 15 days and let me know the report. Be on the lookout for bleeding manifestation including skin rashes and inform accordingly.
Next Steps
Low platelet count has other causes too. It may be drug induced or due to ITP. I need to check the patient clinically and examine his abdomen and spleen size. It occurs in hypersplenism too.
Health Tips
Usually the manual count is higher than the machine count. Contact me on my mobile.

Answered2019-03-26 13:24:09

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Platelet counts may decrease below 1 lac after any viral illness or viral fever or some chronic diseases.
Next Steps
You need to repeat the platelet count after 15 days with a peripheral smear
Health Tips
looks for any sign of bleeding (just need to be cautious) nasal bleed or gim bleed ar any kind of bleed

Answered2019-03-26 12:58:59

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