HomeAnswersGeneral Medicinecovid-19Is decrease in platelet count during COVID indicative of dangerous situation?

My COVID-positive father has a continuous fever and decreased platelet count. Kindly help.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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iCliniq medical review team

Published At June 15, 2021
Reviewed AtSeptember 4, 2023

Patient's Query

Hi doctor,

My father is COVID-positive. Now RT-PCR and CBC reports came. I have attached the report for your reference. He continuously has a fever, particularly at night times, temperature 100 degrees, slight cough, mild cold, little body pain. His oxygen saturation level is 93.

RT-PCR report says positive 21.7. The blood platelet count is 1.2 lakhs. Viral serology report says typhoid. Kindly help.

Answered by Dr. Prathish Kumar

Hi,

Welcome to icliniq.com.

I have gone through your father's reports (attachments removed to protect the patient's identity). His platelet count is low, and his oxygen level 93% is borderline. We need to see CT (computed tomography) and other markers also to decide on further management. But as of now, since the oxygen level is 93%, it is safer to go to the hospital. I suspect COVID-19 pneumonia. Please get the following tests done CT chest, CRP (C-reactive protein), D-dimer, LDH (lactate dehydrogenase), ferritin, and IL-6 (interleukin). I suggest he take the following medications:

1) Tablet Azee (Azithromycin) 500 mg, one tablet in the morning for five days.

2) Tablet Ivermectin 12 mg, one tablet in the morning for five days.

3) Tablet FabiFlu (Favipiravir) 1800 mg, one tablet in morning and night on day one, followed by 800 mg once in the morning and night for 14 days.

4) Tablet Zincovit (Multivitamin), one tablet in the morning for two weeks.

5) Tablet Limcee (Vitamin-C) 500 mg, one tablet in the morning and night for two weeks.

6) Capsule Lumia 2000 (Vitamin-D3), one tablet in the afternoon for two weeks.

7) Tablet Montair-Fx (Montelukast with Fexofenadine), one tablet in the morning and night for two weeks.

8) Tablet Deriphyllin Retard (Theophylline and Etofylline) 150 mg, one tablet in morning and night for two weeks.

9) Capsule Pan-D (Pantoprazole and Domperidone) 40 mg one tablet in the morning before food for two weeks.

Check for COVID in other family members. Quarantine your father. Stay strong and safe following the rules. I hope this was helpful.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Prathish Kumar
Dr. Prathish Kumar

General Medicine

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