A Study of Fever with Thrombocytopenia and Its Complications
Journal Title: Indian Journal of Emergency Medicine - Year 2018, Vol 4, Issue 2
Abstract
Background: Fever with thrombocytopenia is one of the commonest medical problem encountered in India. Management of complications associated with it is the most challenging task for emergency physician which includes bleeding manifestations, ARDS, hepatitis, acute kidney injury, shock syndrome. Aims and Objective: This study was conducted to analyse the cause and outcome of fever associated with thrombocytopenia. Materials and Methods: 100 patients of fever associated with thrombocytopenia who were admitted in the department of emergency medicine, JJM Medical College, Davangere were included in prospective clinical study. Results: 100 patients of fever with thrombocytopenia were analysed out of which male patients were 56 (56%) and female patients were 44 (44%). Among them those who were dengue positive were 64 (64%), Malaria cases were 12 (12%), typhus were 4 (4%), Negative fever profile were 20 (20%). Out of these 100 patients who developed ARDS were 25 (25%), Acute kidney injury were 8 (8%), hepatitis were 7 (7%), patients who developed rash/ petechiae and platelet count less than 20,000 were 60 (60%). Discussion: Infections particularly dengue was the commonest cause of fever with thrombocytopenia, with majority of patients developing bleeding manifestations and ARDS as a complication. The commonest bleeding manifestation were petechiae and purpura. In some patients diagnosed with malaria also developed complication like ARDS, while patients diagnosed with typhus fever had no complications like ARDS. In majority of patients thrombocytopenia was transient and by treating the specific cause improvement in platelet count was noticed during the course of illness.
Authors and Affiliations
Surendra. EM
Keywords
Related Articles
- EP ID EP551938
- DOI 10.21088/ijem.2395.311X.4218.7
- Views 122
- Downloads 0
To Study the Effect of Oxygen Supplementation in Tourniquet Used Limb Surgeries By Using Blood Gas Analysis
Background: To study the effects of oxygen supplementation on the metabolic and anaerobic changes caused by tourniquet application in limb surgeries using blood gas analysis. Methodology: This study was conducted with 60...
Reactive Hypoglycaemia of Pre-Diabetes: A Diagnostic Delima
Reactive hypoglycemia, postprandial hypoglycemia, or sugar crash is characterized by recurrent episodes of symptomatic hypoglycemia occurring within 4 hour after a high carbohydrate meal. The frequent sampling of postpra...
Sitagliptin Associated Acute Pancreatitis
Dipeptidyl peptidase IV (DPP-IV) inhibitors such as sitagliptin prolong the duration of active incretin hormones such as glucagon-like peptide 1 (GLP-1) in the bloodstream and thereby enhances control of type 2 diabetes....
Tetanus Prevention Knowledge and Practices in Doctors of a Tertiary Care Centre of India
Introduction: The most important risk factor for the development of tetanus is lack of immunization. In taking care of wounds suspected of tetanus and use of prophylaxis for it, a history of patient’s vaccination is very...
Screening for Haemoglobin E in the Ethnic Groups of East Sikkim a Hospital based Study
Background: Haemoglobin E (HbE) is the commonest haemoglobin variant in South East Asia and second most common globally. In India, high prevalence has been reported from the North eastern states and from Bengal. Data reg...