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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed Dengue, Platelets Increasing And Decreasing. Normal? Platelets Not Raising, When Will It Reach Normal Count?

Since saturday my mother in law is admitted in hospital as she was diagnosed with dengue. The platelets has been increasing and lowering consistently , latest there has been a downfall from 43K to 36K , earlier to this the count fell to the lowest 20K and then arose from it to 45K then fell to 43K and then to latest 36K. Is it normal ?? Doctors has prescribed a lot of liquid intake and after that also there is no significant rise in platelets. There has been no tranfusion yet , can you please let us know the reason and tell if it is ok ? how many weeks should platelets be recovered to normal count ?
Sat, 21 Sep 2013
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Allergist and Immunologist 's  Response
platelets behave like this it is normal behaviour depend on the resistance and rest it may take in some patients 3-4 wk to recover fluid intake and iv fluids are the answer
we wait till the bleed occurs if bleed occur we need a platelet transfusion otherwise this is correct treatment
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Pathologist and Microbiologist Dr. Sushma Goyal's  Response
Hi
Dont worry. This is a normal trend in dengue patients. Sometimes there can occur refractoriness in dengue patients. So platelets increases slowly. Also platelet levels can vary little bit on different cell counters.
Only treatment for dengue is symptomatic along with lot of fluid intake.
Also there is no need for transfusion. it is needed only if platelet count is less than 10K or patient bleeds.
it takes 3-4 weeks for recovery.
thanks..
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Diagnosed Dengue, Platelets Increasing And Decreasing. Normal? Platelets Not Raising, When Will It Reach Normal Count?

platelets behave like this it is normal behaviour depend on the resistance and rest it may take in some patients 3-4 wk to recover fluid intake and iv fluids are the answer we wait till the bleed occurs if bleed occur we need a platelet transfusion otherwise this is correct treatment