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Table of Contents   
LETTER TO THE EDITOR  
Year : 2017  |  Volume : 10  |  Issue : 2  |  Page : 466
Walking severe thrombocytopenia dengue patient: How about its rate?


1 TWS Primary Care Center, Bangkok, Thailand
2 Hainan Medical University, Haikou, Hainan, China; University of Nis, Niš, Serbia; Joseph Ayo Babalola University, Nigeria; Dr DY Patil Medical University, Pune, Maharashtra, India

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Date of Web Publication22-Jun-2017
 

How to cite this article:
Sukkaromdee P, Wiwanitkit V. Walking severe thrombocytopenia dengue patient: How about its rate?. Ann Trop Med Public Health 2017;10:466

How to cite this URL:
Sukkaromdee P, Wiwanitkit V. Walking severe thrombocytopenia dengue patient: How about its rate?. Ann Trop Med Public Health [serial online] 2017 [cited 2019 Nov 20];10:466. Available from: http://www.atmph.org/text.asp?2017/10/2/466/208715
Dear Sir,

Dengue is a well-known mosquito borne arboviral infection. It can cause high fever accompanied with hemorrhagic complication due to decreased platelet count.[1] Thrombocytopenia is considered as a serious finding and calls for intensive care of the patients. However, some patients might have thrombocytopenia without overt bleeding presentation. In this study, the authors review the data on platelet count on presentation and diagnosis of 78 dengue cases with thrombocytopenia and without overt bleeding visiting to the outpatient clinic at our medical center during November 2015. Of interest, 19 out of 78 (24.4%) cases had severe thrombocytopenia. Focusing on those dengue cases with severe thrombocytopenia, three cases had no fever as well. Based on these findings, it can be seen that some dengue patients can present silently or mildly despite having serious platelet disorder. No bleeding and fever can be possible. This report confirms the previous report on the importance of afebrile dengue.[2] It is needed that all practitioners in the endemic area should be aware of this fact.

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There are no conflicts of interest.

 
   References Top

1.
Wiwanitkit V. Dengue fever: Diagnosis and treatment. Expert Rev Anti Infect Ther 2010;8:841-5.  Back to cited text no. 1
[PUBMED]    
2.
Wiwanitkit S, Wiwanitkit V. Afebrile dengue: An easily forgotten manifestation. Ann Trop Med Public Health 2013;6:686.  Back to cited text no. 2
  [Full text]  

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Correspondence Address:
Pathoom Sukkaromdee
TWS Primary Care Center, Bangkok
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1755-6783.208715

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