one patients is suffering from the platelets count fluctuation. now patient is admitted in hospital due to sever pneumonia, now pneumonia is controlled. but platelet counts are still fluctuates, as per the doctor, it could be either ITP or MDS, (actually we dont know much about these two dieces) please note that he  is an heart & sugar patient as well. his age is 70+. This was found out by doctors before 3 year and taken treatment.
Hello and welcome to Chat Doctor, The platelet counts are decreased in viral infections. In case the pneumonia was viral in origin, the platelet counts can decrease along with pneumonia. The platelet counts recover when viral infection is treated.ITP is also known to occur in viral infections. Thus, there is possible relation between pneumonia, ITP and low platelet counts. However, the diagnosis of ITP is confirmed after examination of bone marrow aspirate.MDS is also diagnosed on bone marrow examination. Thus, whether your patient is suffering from ITP or MDS, it can only be diagnosed on blood film examination and bone marrow examination. Thanks and take care Chat Doctor. 