Suggest treatment for fever and altered sensorium due to dengue
Patient: Hi, My patient had an acute dengue fever with encephalopathy and in MRI it was found 2mm bleeding and no compression in brain. On 12.8.14 platelets conts incresed to 0.198 millions Inspite of this the patient is having return of fever and in alterd sensorium and extremely weak. The consulting MD suggested psychiatric consultation pl advise. Doctor: Hi,As you have mentioned your patient has dengue fever with thrombocytopenia (low platelets).Due to low platelets there are possibility of bleeding as in your patient mild bleeding in brain.Dengue fever is usually associated with high grade fever which may last for a week in some case.There might be following causes for altered sensorium -1) Though there is minor bleed in brain there might be associated minor swelling adolescent to bleed.2) Persistent high grade fever may.3) Electrolytes imbalance associated dengue fever.4) Psychiatry causes.Other complications that may occur in dengue fever:Low Blood pressure.Liver and Kidney function deterioration.Bleeding from other sites. So depending upon his clinical examination and his blood and other reports your doctor is in better position to take appropriate decision.