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Viral infection platelet count is less
My daughter has high fever(103.7) since last two days. We had her blood test done today and the reports indicates the platelets count is on the lower side 1.69lakhs . What could be the cause of this high fever and what is the impact of it . We are really worried about her situation. Seeking guidence immediately.
Answers (10)
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Hello, I understand your concern
Fever is common — focus on child’s overall activity
A fever of 103–104°F can look alarming, but what matters most is:
Child’s alertness
Feeding
Urine output
Breathing
Fever itself does not cause harm when managed well.
Normal platelet range: 1.5–4.5 lakhs
1.69 lakhs is absolutely safe — no bleeding risk, no need for platelet medicines/juices. At this stage, this is not suggestive of dengue complications.
There is no danger from the platelet count. We will simply monitor.
Most likely a viral fever (seasonal).
If other symptoms appear like rash, vomiting, severe body pain, abdominal pain → we will reassess.
Next Steps
Paracetamol every 6 hours (correct weight-based dose).
Tepid sponging if temperature >102.
Give plenty of fluids: ORS, water, coconut water, soup.
Repeat CBC only if symptoms worsen or fever persists beyond 3–4 days.
Health Tips
Red flags:
Child becomes very drowsy/irritable
Not drinking enough / passing less urine
Continuous vomiting
Breathing fast
Rash that doesn’t blanch
Fever not improving by day 4
Bleeding gums/nosebleed
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Hello mam ,
How’s fever today & what medication you r taking ?
Some viral infection tend to down platelet counts. These will recover when pts fever will recover
- Need to repeat platelet count if fever persist after 48 hrs
- if fever remains , we need to look for other causes of fever
Next Steps
Give paracetamol for fever & hydration , keep tract record of fever
Health Tips
Seek doctor help if fever persist more that 4-5 days
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Yes low platelets are due to fever. But they normalise when fever goes away. We need details like symptoms, check up and other blood tests to know the cause. Speak with your Pediatrician or take a second opinion for clarification. No need to worry usually.
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I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided.
Contact me on Practo or WhatsApp chat.
Contact number: 97012307 two nine
Dr. G. Avinash MBBS, MD (Pediatrics) Fellowship in Neonatology
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I need to ask few more questions before answering your query.
Early consultations can prevent complications.
Kindly contact me on whatsapp chat (84960595sixfive)
Dr Faisal Zoheb
MBBS , MD PAEDIATRICS , PGPN (BOSTON), Neonatology fellow ( Newborn specialist )
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