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What Causes Persistent Fever With Peripheral Cyanosis?
i m sfeering from fever from last 24 days. firt it start with dengue.ns1 test posetive 3 to 4 time at deferent laboretory.platelate monitoring daily it low as 45ooo on 5th day then it start incresing in same patern as it decresing.but there is fever with rigger daily.following investigation i have cbc-6700 hb-13.5 platelate-16500 sgpt-1050 u/i sgot-650 sbilirubin-3.5 widal-negetive p/s for mp-negetive xray chest-normal u.s.g. ab-dilated gall blader with hepatomegaly and minimal astis fluid. after 5 day i repete all investigation as follow hb-13.5 tc-8000 platelate count-350000 sgpt-85 sgot-57 bilirubin-1.0 s creatinine-0.9 widal-negetive ps for maleria-negetive esr-23 crp-53 ana-negetive xray-chest-normal usg ab-distended gall blader still fever is there now it came three spike and each time with rigger and now during fever periferal cynosis develop.spo2-98 please advice me what to do .and what is diagnosis and tratment
Wed, 22 Mar 2017
Hi, I had gone through your question and understand your concerns.
Its typically of Dengue fever of what you have described above. Now you are in recovery phase you can take Tab Paraceatmol for fever. As your Liver function tests and platelet count is coming to normal you should not worry more.
Important thing in your above given description is that you have minimal ascites it can be seen in patients with dengue leak syndrome and its very important to monitor daily weight and ultrasound abdomen to look for any increase in ascites. Other way to monitor is Hematocrit count as when patient is recovering ascites will get reabsorb and hematocrit fals. I suggest you to have close contact with your treating physician for close monitoring.
Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
Its typically of Dengue fever of what you have described above. Now you are in recovery phase you can take Tab Paraceatmol for fever. As your Liver function tests and platelet count is coming to normal you should not worry more.
Important thing in your above given description is that you have minimal ascites it can be seen in patients with dengue leak syndrome and its very important to monitor daily weight and ultrasound abdomen to look for any increase in ascites. Other way to monitor is Hematocrit count as when patient is recovering ascites will get reabsorb and hematocrit fals. I suggest you to have close contact with your treating physician for close monitoring.
Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
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