INCIDENCE OF BLEEDING MANIFESTATIONS IN FEVER WITH THROMBOCYTOPENIA CASES
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 15
Abstract
INTRODUCTION: Fever is the cardinal manifestation of infection. Platelets are necessary to prevent bleeding manifestations. Certain infections cause thrombocytopenia and bleeding manifestations. AIMS AND OBJECTIVES: To study the incidence of bleeding manifestations in infections which cause fever and thrombocytopenia. MATERIALS AND METHODS: INCLUSION CRITERIA: Patients who were admitted with fever and thrombocytopenia, aged above 12 years, in S.V.R.R.G.G.H, Tirupati were taken for the study. EXCLUSION CRITERIA: Patients who are admitted with thrombocytopenia and without fever were excluded. Patients who are admitted with fever and normal platelet count were excluded. RESULTS AND CONCLUSION: Fever with thrombocytopenia is the commonest presenting problem in the medical wards. In the present study the commonest infectious etiology of fever with thrombocytopenia was malaria fever (36%), followed by undiagnosed fevers (28%), dengue fever (26%), typhoid fever (6%) and scrub typhus (4%). In the present study bleeding manifestations were seen in 16 cases (32%) and bleeding manifestations were not seen in 34 cases (68%). The commonest bleeding manifestation was cutaneous, followed by hematemesis, malena, bleeding gums, hematuria and epistaxis. Bleeding manifestation was commonly seen in thrombocytopenia with dengue fever (14%), followed by malaria (8%), undiagnosed cases (8%) and typhoid (2%).
Authors and Affiliations
Putta Suresh, Ramesh Kumar C, Yamini Devi C, Deva Priyanka K
Keywords
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- EP ID EP227138
- DOI 10.18410/jebmh/2015/326
- Views 80
- Downloads 0
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