Annals of Tropical Medicine and Public Health

LETTER TO THE EDITOR
Year
: 2017  |  Volume : 10  |  Issue : 2  |  Page : 467--468

Not only thrombocytopenia but also normal platelet count and thrombocytosis can be seen in dengue patients


Pathoom Sukkaromdee1, Viroj Wiwanitkit2,  
1 TWS Primary Care Center, Bangkok, Thailand
2 Hainan Medical University, Haikou, Hainan, China; University of Nis, Serbia; Joseph Ayobabalola University, Nigeria; Dr. DY Patil Medical University, India

Correspondence Address:
Pathoom Sukkaromdee
TWS Primary Care Center, Bangkok
Thailand




How to cite this article:
Sukkaromdee P, Wiwanitkit V. Not only thrombocytopenia but also normal platelet count and thrombocytosis can be seen in dengue patients.Ann Trop Med Public Health 2017;10:467-468


How to cite this URL:
Sukkaromdee P, Wiwanitkit V. Not only thrombocytopenia but also normal platelet count and thrombocytosis can be seen in dengue patients. Ann Trop Med Public Health [serial online] 2017 [cited 2020 Feb 28 ];10:467-468
Available from: http://www.atmph.org/text.asp?2017/10/2/467/208717


Full Text

Dear Sir,

Dengue is a common arbovirus infection and causes high morbidity and mortality each year. This mosquito borne disease can cause an acute febrile infection, and the platelet problem is an important observation.[1] Thrombocytopenia is the important finding in patients with dengue. Nevertheless, not all dengue cases have thrombocytopenia. Here, the authors review the data on platelet count on presentation and diagnosis of 84 dengue cases during October 2015 at our medical center. Classifying by the level of platelet count, the findings are shown in [Table 1]. Of interest, on first clinical diagnosis of dengue, the platelet count of the dengue patients can be normal or abnormally high or low. This finding is very interesting since most clinician in resource limited settings usually use thrombocytopenia to judge diagnosis. The use of laboratory diagnostic tool such as antibody and antigen test is needed in clinical practice. Of interest, Wiwanitkit and Manusvanich previously noted the uselessness of platelet count on first diagnosis of dengue for prediction of clinical course and outcome of dengue infection.[2]{Table 1}

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Conflicts of interest

There are no conflicts of interest.

References

1Wiwanitkit V. Dengue fever: Diagnosis and treatment. Expert Rev Anti Infect Ther 2010;8:841-5.
2Wiwanitkit V, Manusvanich P. Can hematocrit and platelet determination on admission predict shock in hospitalized children with dengue hemorrhagic fever? A clinical observation from a small outbreak. Clin Appl Thromb Hemost 2004;10:65-7.