Authors
Shankara B Va, Nidhu Anto Va, Harikrishnan B Lb, P Baburaja.
a Department of Medicine, Jubilee Mission Medical College & Research Institute, East Fort, Thrissur, Kerala.
b Department of Emergency Medicine, Jubilee Mission Medical College & Research Institute, East Fort, Thrissur, Kerala.
Abstract
Objective: This study attempts to determine the common etiologies of fever with thrombocytopenia in adult patients admitted under the department of Medicine in a tertiary care centre. To note varying manifestations of dengue fever besides other than conventional presentations of classical dengue.
Materials and Methods: In a retrospective clinical study of patients admitted to Jubilee Mission Medical College & Research Institute last season(June, July and August’12), case files of 94 patients with fever (Temp > 99 degree F) with platelet count < 1,50,000 were analyzed for its various clinical presentation, serology, complications, and requirement of platelet transfusion.
Conclusions: In our study the most common causes of fever with thrombocytopenia was Dengue fever, followed by non-specific viral fever, leptospirosis. In majority of patients thrombo-cytopenia was transient and asymptomatic. Among infections, dengue/non- specific viral fever is the commonest cause of fever with thrombo-cytopenia without organ involvement. Patients usually recover with supportive treatment.
Keywords: Fever, Thrombocytopenia, Dengue fever