Signs of thrombocytopenia in dengue fever

This is an automatically translated article.

Dengue hemorrhagic fever is an infectious disease caused by the dengue virus. Dengue hemorrhagic fever is characterized by fever, hemorrhage, and plasma leakage. This condition can lead to hypovolemic shock, coagulopathy, organ failure, if not diagnosed early and treated promptly, it can easily lead to death.

1. What is thrombocytopenia?

Platelets are blood cells that play an important role in blood clotting. Thrombocytopenia occurs when the number of platelets in the blood is too low.
This condition is the result of a health problem or the effects of certain medications. Mild thrombocytopenia will cause few signs or symptoms. In rare cases, the platelet count can be too low to cause dangerous internal bleeding.

2. How dangerous is thrombocytopenia?

Thrombocytopenia can affect all ages both in children and adults. In the case of thrombocytopenia, if the patient is not treated in time, it can lead to brain hemorrhage, which can be fatal.

3. Signs and symptoms of thrombocytopenia in dengue fever

Hemorrhagic symptoms usually occur a few days after the patient begins to have a fever and there are various types of bleeding such as subcutaneous hemorrhage, mucosal hemorrhage,... Subcutaneous hemorrhage with petechiae, is The red dots do not disappear when pressed - this is also the point to distinguish them from the case of red spots caused by rashes when pressed, they will disappear. This red dot is usually on the forearms, legs, chest armpits, waist... Mucous membrane bleeding such as nosebleeds (nosebleeds), bleeding teeth, vomiting blood, bloody stools. In girls at puberty, vaginal bleeding (premenstrual period) may occur. If the disease is mild, from the 3rd to 7th day of the disease, the fever will decrease or the fever will disappear with signs of gradual recovery.

However, there are some patients with symptoms such as digestive disorders, diarrhea. According to experts, this is the most common complication of dengue fever and also the main cause of death is plasma leakage. That is the phenomenon of plasma escaping through the vessel wall, pulling water with it, leading to the loss of a large amount of water in the circulation, causing cardiovascular collapse, or dysfunction of the liver and kidneys.... For patients with bleeding Severe complications, thrombocytopenia is an extremely dangerous condition. Some of the symptoms of thrombocytopenia hemorrhagic fever may be:
Bruising. Medal. Bleeding from the nose or gums. Bleeding that doesn't stop from a wound, even if it's been around for a long time. Menstruation a lot. Rectal bleeding. Blood in stool or urine. Tired. In more severe cases of low platelets, the person may experience internal bleeding. Symptoms of internal bleeding include:
Blood in the urine. Blood in stool. Black blood or vomit.

4. How to treat thrombocytopenia in hemorrhagic disease?

Treatment of thrombocytopenia in hemorrhagic such as:
Blood or platelet transfusion to compensate for the lost platelet count. Drugs that suppress the immune system, corticosteroids block the platelet antibodies. Surgery may be required to remove the spleen if necessary. Vinmec International General Hospital is one of the hospitals that not only ensures professional quality with a team of leading doctors, modern equipment and technology, but also stands out for its examination and consulting services. and comprehensive, professional medical treatment; civilized, polite, safe and sterile medical examination and treatment space.

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