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    MH Sadeque Bin Sayed
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    The patient presented with low platelet count and white blood cell count, microscopic blood in urine, enlarged liver, and pleural effusion. Tests confirmed dengue infection with both IgM and high IgG antibodies. She was treated with IV fluids, vitamin supplements, and close monitoring, and her platelet count and symptoms gradually improved. She was diagnosed with grade II dengue hemorrhagic fever and recovered sufficiently to be discharged after 8 days of supportive care.

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    The patient presented with low platelet count and white blood cell count, microscopic blood in urine, enlarged liver, and pleural effusion. Tests confirmed dengue infection with both IgM and high IgG antibodies. She was treated with IV fluids, vitamin supplements, and close monitoring, and her platelet count and symptoms gradually improved. She was diagnosed with grade II dengue hemorrhagic fever and recovered sufficiently to be discharged after 8 days of supportive care.

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    Impression

    Uploaded by

    MH Sadeque Bin Sayed
    The patient presented with low platelet count and white blood cell count, microscopic blood in urine, enlarged liver, and pleural effusion. Tests confirmed dengue infection with both IgM and high IgG antibodies. She was treated with IV fluids, vitamin supplements, and close monitoring, and her platelet count and symptoms gradually improved. She was diagnosed with grade II dengue hemorrhagic fever and recovered sufficiently to be discharged after 8 days of supportive care.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
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    On laboratory investigations, her total count of WBC was 8000/cu mm, platelet count 1,20,000/cu mm, prothombin time

    - 14 seconds (control-12 sec), Hct-45%. Scrum bilirubin, alkaline phosphatase-within normal range, Urine R/E-microscopic haematuria, Hb% - 16gm/dl, USG of abdomen-liver slightly enlarged, right sided pleural effusion, serological result showed both IgM and IgG were positive. Titre of IgG was high. She was treated with simple supportive therapy with vitamin-B complex, I/V fluid 5% DNS and was closely monitored for vital sings. Blood test was done regularly for platelet count and Hct every day. Her subsequent platelet count rises. The patient was suffering form dengue haemorrhagic fever grade II, from which she recovered gradually with above treatment. She was discharged on 8 day of her admission as her condition was stable and return of appetite, improvement of symptoms and no abdominal discomfort.

    Impression Haemorrhagic manifestations may not correlate with platelet count in dengue haemorrhagic fever.

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