Fever With Low Platelets and White Blood Cell (WBC) Counts
Q: Hi, I m down due to flu since last Friday. It took almost 5 days for fever to subside, though the temperature never crossed 101 degrees. I have been taking paracetamol continuously since Friday. In the interim on Monday, to ensure that there is no malaria, basic blood test was done. Reports were normal accept low WBC and platelet counts- 3300 and 1.25 thousand respectively. I did another report today. The counts have further weakened to 2900 and 1.14 thousand. Fever is under control since last 2 days. I need help to understand possible reason for low counts. Widal and urine tests were OK.
– By Pankaj, age 32, male.
You definitely have some neutropenia and thrombocytopenia, that is low platelets and neutrophils. This cannot be explained by the viral fever you just had.
Further investigations are definitely required at the earliest. I would suggest you to visit a hospital and get the following investigations done:
Test for Dengue: Any viral looking episode accompanied with low platelets counts call for this investigation. It is imperative to rule it out first.
If dengue is negative, there is a possibility that you are having some other underlying medical problem which has made your blood counts low. Low neutrophil (WBC) counts make a person more prone to infections. He frequently catches infections, viral fever.
To diagnose the problem, certain Hematological investigations have to be done. They would include-
- Total blood counts
- Peripheral smear
It would be best for you to visit your nearby hospital and get yourself investigated. You may also let us know about the results.