Conversation: The conversation between human and AI assistant.
[|Human|] hi, my husband has been suffering from high fever and a bad headache since thursday morning. A local doctor thought it could be due to dehydration (since we had a long drive) and administered IV fluids and discharged him. The fever did not come down and then the next day another doctor gave a shot of voveran and cefixime. the fever vanished but recurred the following day. Sunday evening he was given another antibiotic and the blood owrk done on Monday morning (5th day)  showed a platelet count of 1.12L/cumm and a WBC count of 3100. It was negative for widal, malarial parasite, Urinary tract infections etc. The fever had resolved since Monday. He got admitted to the hospital because of the platelet count and has been given IV fluids. On 6th day morning the platelet count was 78,000 and the rapid Dengue test (IgG and IgM and NS1) were negative. the 6th day evening value was 75,000 and on the 7th day it was 66,000. he is on IV fluids and some antibiotics. The fever has resolved. What do you think could be the case and when would it start rising again? The doctor thinks it could be viral fever. Kindly advise
[|AI|]  Yes they scenario points towards the viral infection. There are many other viral infection other than dengue can lead to the thrombocytopenia i.e. low platelet counts. As the dengue NS1 and IGM and EGG are negative the dengue as a cause is ruled out. As said earlier in many other viral infections other than dengue there can be thrombocytopenia & platelet count begin to rise usually after 7-10 days and will be normal in coming few days. The important thing in above-mentioned case is persistent diminution of the platelet count which should be monitored, close observation regarding the bleeding tenancies should be kept & if required patient should be started upon Dexamethasone as needed by doctors opinion.Otherwise, the treatment received is excellent it will definitely help to tide over the situation.