low platelets130000 total white 1810 DC low too?

Question

Started with runny nose in the morning. Chills and feverish with sore throat pm.Treated myself with Flu medicine for three days.Fever 38 to 39.5.Went to consult Dr on fourth day and was given antibiotics.Temp still 39 and full blood count was taken on fifth and sixth day.Platelets 130000 and next day was 137000.Total white was 1816 and 1811.Dc except basophils was low too.MCH on both days was 33. On seventh day fever came down.Diagnosed as dengue fever.?? .It happened three weeks ago .Caught another cold yesterday.Should i repeat blood test?


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Answer 1

DF is Dengue Fever. DHF is Dengue Hemorrhagic Fever. DSS is Dengue Septic Shock

The dengue virus is transmitted by the mosquito Genus Aedes.


Lab Studies: in Denque Fever::


Complete blood cell count findings include the following:
Leukopenia, often with lymphopenia, is observed near the end of the febrile phase of illness. Lymphocytosis, with atypical lymphocytes, commonly is seen before defervescence or shock.



A rise in hematocrit greater than 20% is a sign of hemoconcentration and precedes shock. The hematocrit level should be monitored at least every 24 hours to facilitate early recognition of dengue hemorrhagic fever (DHF) and every 3-4 hours in severe cases of DHF or dengue shock syndrome (DSS).


Thrombocytopenia has been demonstrated in up to 50% of dengue fever (DF) cases. Platelet counts of less than 100,000 ( altho' your PLT ct is 130,0000. Normal ct being 300,000. are seen in DHF or DSS and occur before defervescence and the onset of shock. The platelet count should be monitored at least every 24 hours to facilitate early recognition of DHF. therefore, the Dr might want more blood test to monitor if your DF has progressed worse to DHF or DSS which are more severe and fatal.



Basic metabolic panel findings include the following:
Hyponatremia is the most common electrolyte abnormality observed in patients with DHF or DSS.
Metabolic acidosis is observed in those with shock, and it must be corrected rapidly.
Elevated BUN is observed in those with shock.
Liver function test findings include the following:
Mild elevations in transaminase levels may be seen.
Low albumin is a sign of hemoconcentration.
Coagulation studies may help guide therapy in patients with severe hemorrhagic manifestations. Findings are as follows:
Prothrombin time is prolonged.
Activated partial thromboplastin time is prolonged.
Low fibrinogen and elevated fibrin degradation product levels are signs of disseminated intravascular coagulation.
Typing and crossmatching of blood should be performed in cases of severe DHF or DSS because blood products may be required.
Serum specimens should be sent to the laboratory for serodiagnosis, polymerase chain reaction (PCR), and viral isolation. Because the signs and symptoms of DF are nonspecific, attempting laboratory confirmation of dengue infection is important. Serodiagnosis is made based on a rise in antibody titer in paired immunoglobulin G (IgG) specimens or immunoglobulin M (IgM). Results vary depending on whether the infection is primary or subsequent. The IgM capture enzyme-linked immunosorbent assay (MAC-ELISA) has become the most widely used assay, although other tests, including complement fixation (CF), neutralization test (NT), hemagglutination inhibition (HI), and IgG ELISA are also used.
Cultures of blood, urine, CSF, and other body fluids should be performed as necessary to exclude or confirm other potential causes of the patients' condition.


White Blood Cell Count . Measures the number of white blood cells in a microliter of blood. Normal values range from 4100/ml to 10900/ml . so, your count of 1816 is unusually low. A low WBC may indicate viral infection or toxic reactions. A high WBC count may indicate infection, leukemia, or tissue damage. An increased risk of infection occurs once the WBC drops below 100/ml


WBC Differential . Determines the percentage of each type of white blood cell in a sample. Multiplying the percentage by the total count of white blood cells indicates the actual number of each type of white blood cell in the sample.
Normal values are:
Type Percentage Number
Neutrophil - 50- 60%
Eosinophils - 1-4 % 3,000- 7,000
Basophils - 0.5 - 2% 50- 400--
Lymphocyte- 20- 40% 25- 100
Monocytes 2- 9 %- 1,000-4,000
100- 600



Patients with known or suspected DF should have their platelet count and hematocrit measured daily from the third day of illness until 1-2 days after defervescence. Those patients with a rising hematocrit or falling platelet count should have intravascular volume deficits replaced. Those patients who improve can continue to be monitored in an outpatient setting. Those patients who do not improve should be admitted to the hospital for continued hydration

Answer 2

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Answer 3

dengue is dangerous and could lead to haemorrhage. better repeat the blood test. i am surprised you were not admitted to hospital and kept under observation. also state authorities have to be alerted since it is communicable and precautions will have to be taken in your area for mosquito control.