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Complains of fever and headache,possibly due to typhoid.

Resolved Question:

Hi Doctor,

I am having fever from last 6 days with continuous headache. I am having paracetamol on regular interval but my fever is not decreasing from 100 degree, sometimes it reaches to 103 degree as well, Because of fever my appetite is also reducing day by day.

I got it checked from doctor and she suggested me to get some blood test done.

On 8 th Oct My my Leucocytes count was 4200 (Normal Range- 4000-11000 cu.mm) and my Platelets count was 1.85 (Normal Range - 1.5-4.5 Lakh/cu.mm), But on 11th Oct my my Leucocytes count was decreased to 388 from 4200 and platelet count 1.42 from 1.85.

Then i had
Dengue Antibody IGM - Not Detected
Dengue Antibody lgG- Not Detected
Dengue NS1 Antigen - Negative
Malaria Parasite/Blood Parasite Identification - No MP Seen in smears examined.

Then i had Complete Blood Count Test, There
RBC Count is showing low - Current is 4.24 (Normal - 4.50-5.50)
MCH is showing High - 33.70 (Normal - 27.00-32.00)
MCHC is showing high - 35.80 (Normal - 32.00-35.00)
Red Cell Distribution Width is high- 15.20 (Normal - 11.50-14.50)


Differentiaql Lecocyte Count (DLC)
Eosinophils is showing NILL-0.00 (Normal 1.00-6.00)

Absolute Leucocyte Count
Eosinophills is showing NILL - 0.00 (Normal 0.02-0.50)

Its been 6 days and i am still having fever, kindly suggest what could be the reason? please also help me understanding that if i dont have dengue, why my platelets count is decreasing.

Regards

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 32 Doctors Online

Hello,

Thank you for asking your query at DoctorSpring.

Regarding the blood test levels, you need to understand that the blood counts (platelets, WBCs etc) are dynamic. Their counts are supposed to change every moment. So a varying counts infact says they are functioning normally. 1.42L platelets is not exactly low. It is just lower range of normal. Same with WBCs. So you need not worry about this.

Since these is low normal WBCs, a viral infection (viral fever) or Typhoid fever is possibility. Dengue is less likely. Since its been a week you will need an antibiotic (in consult with your Doctor). A Typhoid test, Liver and renal function tests might be needed if the fever persists.

Hope this helps. Please feel free to ask followup questions.
Thank you.


Patient replied :

Sorry there is a mistake in line - "But on 11th Oct my my Leucocytes count was decreased to 388 from 4200". Its 3800 not 388


Hello,

Thank you for asking your query at DoctorSpring.

Regarding the blood test levels, you need to understand that the blood counts (platelets, WBCs etc) are dynamic. Their counts are supposed to change every moment. So a varying counts infact says they are functioning normally. 1.42L platelets is not exactly low. It is just lower range of normal. Same with WBCs. So you need not worry about this.

Since these is low normal WBCs, a viral infection (viral fever) or Typhoid fever is possibility. Dengue is less likely. Since its been a week you will need an antibiotic (in consult with your Doctor). A Typhoid test, Liver and renal function tests might be needed if the fever persists.

Hope this helps. Please feel free to ask followup questions.
Thank you.


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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