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Suggest Treatment For Fever And Decreasing Platelet Count

Posted on Tue, 16 Dec 2014

Question: My mother is suffering from fever for the past 13 days.initial tests revealed that chickengunya was reactive.the doctor prescribed certain tablets and injections and fever was continuously coming only at early morning 4am.after 9am she will be fine and again fever comes at 4am.the doctor found that her platelet count was reduced tofrofrom 2.25 lakhs to 85000 so he did a platelet transfusion and the next day her platelet count was increased to 1.45lakhs.but she is experiencing the same fever at early morning hours. What could be the reason?

Answered by Dr. Arun (22 minutes later)

Brief Answer:
Please provide more information to help you...

Detailed Answer:
Hello,
I understand your concern.
I am Dr. Arun Tank, infectious diseases specialist, answering your query.

I want to ask you some questions to help you further.

What type of fever it is? High grade or low grade tell me the temperature if possible.

Have your mother tested for dengue?

Please attach the report of chikungunya and dengue also if tested.

Fever is associated with joint pain or bone pain?

I will be happy to answer your further concern, you can ask me on bit.ly/DrArun.
Thank you.
Dr Arun Tank
Infectious diseases specialist.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Arun (25 minutes later)

The fever ranges from 101 to 104 in early morning and slightly starts becoming normal and she is alright by afternoon and fever comes again during next day early morning 3 to 5 am.

She has been tested positive for chickengunya.I have attached the reports.

She has some joint pain and muscle pain and is very tired during fever.othertimes she is normal.

Answered by Dr. Arun (1 hour later)

Brief Answer:
She will be recovered from the fever very soon.

Detailed Answer:
Thank you for Answer.

In my opinion your mother is recovering from the chikungunya infection. She will be free from the fever very soon.

Chikungunya virus is spread by mosquitoes bites.

It is a flavirus group of virus. It has common characteristics of causing hemorrhagic fevers, as suggested by the reducing platelets count.

But 21 November report is suggestive of increase in platelet count. This is the evidence of recovery from the chikungunya virus infection.

Such infection are notorious for causing joint pain even after the infections is cured. So I suggest you to continue the strong painkillers even after treatment.

I will be happy to answer your further concern, you can ask me on bit.ly/DrArun.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Arun (12 minutes later)

Thank you sir for for ur response.

My concern is why she is experiening fever only at early mornings?as she takes medicine morning she becomes normal by afternoon.

I have attached the prescriptions given by doctor for upcoming 10days.Is this prescription a correct one?

Answered by Dr. Arun (2 hours later)

Brief Answer:
Fever will disappear soon, prescription is perfect

Detailed Answer:

Such viral infections some times has cyclical pattern of fever.

So when virus come out into circulation, that is early in morning in your mothers case, it causes fever.

Once the paracetamol has taken the fever will disappears.

I have gone through your mothers prescription.

The provided drugs are right and you can continue with it. The cyclical pattern of fever will disappear soon with prescribed drugs and your mothers improving condition.

I will be happy to answer your further concern, you can ask me on bit.ly/DrArun.
Thank you.
Dr Arun Tank
Infectious diseases specialist.

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju