Infectious Diseases · NEET PG Preparation Medicine
A 32-year-old male presents with high-grade fever, severe myalgia, retro-orbital pain, and a generalized maculopapular rash. On examination, he has a…
Practice question from Infectious Diseases (NEET PG Preparation Medicine), with the correct answer and a step-by-step solution.
medium · MCQ · Q-A356EA
A 32-year-old male presents with high-grade fever, severe myalgia, retro-orbital pain, and a generalized maculopapular rash. On examination, he has a positive tourniquet test and petechiae on the lower limbs. Laboratory investigations reveal thrombocytopenia (platelet count ) and hemoconcentration with a rising hematocrit. Which of the following is the most appropriate immediate step in the management of this patient?
- A.Prophylactic platelet transfusion
- B.Cautious intravenous fluid resuscitation with isotonic crystalloidsCorrect answer
- C.Immediate administration of intravenous broad-spectrum antibiotics
- D.High-dose systemic corticosteroids
Solution
The patient has Dengue with warning signs (or severe dengue indicators like hemoconcentration and thrombocytopenia). The hallmark of severe dengue management is plasma leakage leading to intravascular volume depletion. Cautious intravenous fluid resuscitation with isotonic crystalloids is the cornerstone of management. Prophylactic platelet transfusions are generally not recommended unless there is significant bleeding, as platelets will also be consumed or destroyed.
More from Infectious Diseases
- A 45-year-old immigrant from Southeast Asia presents to the emergency department with altered mental status, fever, and a generalized petec…
- A 28-year-old HIV-positive male with a CD4 count of 45/mu L presents with progressive headache, fever, and lethargy over two weeks. Fundosc…
- A 30-year-old male is evaluated for a painless ulcer on his penis that appeared 3 weeks ago, which has now spontaneously healed. He now pre…
- A 60-year-old male with type 2 diabetes mellitus is admitted with diabetic ketoacidosis. Over the next 48 hours, he develops acute onset le…
Practise more Medicine
Sign up free for adaptive practice on this chapter, with instant feedback and hints on every question.
Start practising freeFree to start · No credit card needed