Study of acute febrile illness with low platelet count

 

 

Abstract              Aim: To Evaluate different cause, Clinical profile and complication of Acute febrile illness with low platelet count. Material and Method: Total 200 Patient age>12 year admitted with acute onset of fever (AM temperature>37.2 C and PM temperature >37.7C) and found to have thrombocytopenia (platelet count<150000) are included in the study. Result: Out of 200 patients 121 were males and 79 were females. Duration of hospitalization was between 3 to 7 days. Out of 200 patients, most of patients were of malaria (134 patients), followed by dengue fever (40 patients), enteric fever (16 patients), unexplained viral fever (10 patients). So malaria is commonest cause of fever with thrombocytopenia in my study. In malaria, P. vivax (118 patients) was commonest followed by falciparum (14 patients) and mixed malaria (2 patients). Conclusion: infection is most common cause of fever with thrombocytopenia. Clinical manifestation of thrombocytopenia was present in only 3 cases and only 3 patient required platelet transfusion while most of patients (197 patients) required only disease specific treatment and platelet transfusion was not given in those patients. So platelet transfusion is rarely needed in patients of fever with thrombocytopenia

Key Word: Dengue Fever, Enteric fever, Malaria, Petechiae, Thrombocytopenia.