www.ijsrp.org To Study Clinical Evaluation and Outcome of Patients

Abstract- The aim was to the study clinical evaluation and outcome of patients with febrile thrombocytopenia. Methodology:100 patients of fever with thrombocytopenia. Malaria was the commonest cause of febrile thrombocytopenia. followed by Dengue and viral fever.Maximum percent of bleeding seen at 5×103 to 10×103/cumm platelet count, then 11×103 to 20×103/cumm followed by 21×103 to 30×103/cumm.Out of 100 patients 23 patients showd bleeding manifestations. The Commonest form of bleeding manifestation was petechiae in 17 patients followed by hematuria, per rectal bleeding and epistaxis in 3,2 and 1 patient respectively.Good recovery was noted in 95 % patients and mortality noted in 5% patients. Septicemia accounted for 75 % mortality. We conclude that the febrile illness patients should be investigated for platelet count whether they have bleeding manifestations or not. Strong probability of dengue fever or other common causes like malaria, viral fever and leptospirosis should be kept in mind in any case of fever and thrombocytopenia as a decreased platelet count can be severe without external manifestation and lead to a bad prognosis if not treated with platelet transfusion early