Clinical and Laboratory evaluation of patients presenting with fever with Thrombocytopenia in a tertiary care hospital of North India

Abstract

http://dx.doi.org/10.21276/IJRDPL.22780238.2018.7(2).2959-2961 ABSTRACT: Introduction: Fever with thrombocytopenia is a common condition that is associated with an increased risk of morbidity and mortality. Aims & Objectives: The study was designed to assess the etiology, clinical features and laboratory profile of fever with thrombocytopenic patients which is of great value in determining the outcome and prognosis in these patients. Material & Methods: A total number of 50 patients who were admitted with the history of fever with thrombocytopenia were studied. Detailed examination of various systems was done. Routine investigations were done, Specific and Special investigations (Blood & Urine culture, Widal, Antigen test for malaria, IgM ELISA Dengue, Bone marrow examination etc.,) were done as and when indicated. Results: From this study it was observed that infections (98%) were the most common cause and among infections malaria (36%)was the commonest cause followed by viral illness (34%). Definitive increase in platelet counts was noted after treating the underlying cause. Conclusion: Thrombocytopenia was the commonest laboratory finding in many fever cases. It is better to do platelet count in all fever cases whether they have bleeding manifestations or not.