Putta Suresh1, C. Ramesh Kumar2, C. Yamini Devi3, K. Deva Priyanka4
INTRODUCTION: Fever is the cardinal manifestation of infection. Platelets are necessary to prevent bleeding manifestations. Certain infections cause thrombocytopenia and bleeding manifestations.
AIMS AND OBJECTIVES: To study the incidence of bleeding manifestations in infections which cause fever and thrombocytopenia.
MATERIALS AND METHODS: INCLUSION CRITERIA: Patients who were admitted with fever and thrombocytopenia, aged above 12 years, in S.V.R.R.G.G.H, Tirupati were taken for the study.
EXCLUSION CRITERIA: Patients who are admitted with thrombocytopenia and without fever were excluded. Patients who are admitted with fever and normal platelet count were excluded.
RESULTS AND CONCLUSION: Fever with thrombocytopenia is the commonest presenting problem in the medical wards. In the present study the commonest infectious etiology of fever with thrombocytopenia was malaria fever (36%), followed by undiagnosed fevers (28%), dengue fever (26%), typhoid fever (6%) and scrub typhus (4%). In the present study bleeding manifestations were seen in 16 cases (32%) and bleeding manifestations were not seen in 34 cases (68%). The commonest bleeding manifestation was cutaneous, followed by hematemesis, malena, bleeding gums, hematuria and epistaxis. Bleeding manifestation was commonly seen in thrombocytopenia with dengue fever (14%), followed by malaria (8%), undiagnosed cases (8%) and typhoid (2%).
