Persistent thrombocytopenia in Dengue Fever is rare but not uncommon - can be treated with steroid successfully

Authors

  • Md Daharul Islam Associate Professor, Dept of Medicine, Sir Salimullah Medical College, Dhaka
  • Khaleda Akter Associate Professor, Dept of Gynae & Obs, Z. H Sikder Medical College, Dhaka
  • Ranajit Sen Chowdhury Associate Professor, Dept of Medicine, Sir Salimullah Medical College, Dhaka
  • Mohammad Abdus Sattar Sarkar Associate Professor, Dept of Medicine, Sir Salimullah Medical College, Dhaka
  • Aminur Rahman Assistant Professor, Dept of Neurology, Sir Salimullah Medical College, Dhaka

DOI:

https://doi.org/10.3329/bjm.v32i1.51097

Keywords:

Dengue Fever (DF), Dengue Haemorrhagic Fever (DHF), Idiopathic Thrombocytopenic Purpura

Abstract

Fever, skin rash, thrombocytopenia and bleeding are common manifestation of dengue fever (DF). Thrombocytopenia usually gets better and platelet count normalizes by day 10 of fever. Chronic thrombocytopenia is not a feature of dengue fever. Proposed mechanisms behind thrombocytopenia are many. Direct platelet destruction by dengue virus, immune-mediated platelet destruction and evenmegakaryocytic immune injury are proposed as underlying mechanisms. We are reporting a case of a 43 year old female who presented in dengue season in 2019 with fever and bleeding and wasdiagnosed as a case of dengue haemorrhagic fever. She had persistent thrombocytopenia which neededto be treated on the lines of immune thrombocytopenia and responded to steroids. Other causes of thrombocytopenia were ruled out.

Bangladesh J Medicine January 2021; 32(1) : 62-64

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Published

2021-01-04

How to Cite

Islam, M. D., Akter, K., Chowdhury, R. S., Sarkar, M. A. S., & Rahman, A. (2021). Persistent thrombocytopenia in Dengue Fever is rare but not uncommon - can be treated with steroid successfully. Bangladesh Journal of Medicine, 32(1), 62–64. https://doi.org/10.3329/bjm.v32i1.51097

Issue

Section

Case Reports