Hi doctor,My son is 9 months old. He had a high fever and low platelet count (70 k). We admitted him immediately and done blood platelet transfusion (100 ml). The next day, the platelets went down to 16 k. He was discharged from the hospital when it came up to 95 k. Now after a week, the count went down to 52 k again. My pediatrician suggested taking advice from hematologist to see if he requires treatment for ITP (if diagnosed as such). Please advice next steps, worrying a lot. I also had this problem when I was two and a half years old. I was given steroids as a treatment.
Hi, Welcome to Chat Doctor forum. I have gone through the query (attachment removed to protect patient identity). Your son\s latest report shows neutrophilia. It is suggestive of bacterial infection. Further workup can be done in the form of CRP (C- reactive protein) estimation, blood culture, and flow cytometry to rule out congenital thrombocytopenia causes. ITP is a diagnosis of exclusion. If there is no other cause found, then only ITP is suspected. For that bone marrow study is essential. Please provide me the previous CBC report also to give further comment. For more information consult a hematologist online 