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VOLUME 25 , ISSUE 4 ( April, 2021 ) > List of Articles


Severe Thrombocytopenia in COVID-19: A Conundrum in Dengue-endemic Areas

MB Adarsh, Anitha Abraham, P Kavitha, Meera M Nandakumar, Raman S Vaman

Keywords : COVID-19, Dengue, Thrombocytopenia

Citation Information : Adarsh M, Abraham A, Kavitha P, Nandakumar MM, Vaman RS. Severe Thrombocytopenia in COVID-19: A Conundrum in Dengue-endemic Areas. Indian J Crit Care Med 2021; 25 (4):465-466.

DOI: 10.5005/jp-journals-10071-23778

License: CC BY-NC 4.0

Published Online: 01-04-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Thrombocytopenia in coronavirus disease-2019 (COVID-19) can be attributed to multiple factors. Most often it is disease related. It is usually mild and if severe often associated with severe COVID-19 disease. It can also be due to drugs (Remdesivir, Tocilizumab) or coinfection with other viruses. Here we report two cases of severe thrombocytopenia in COVID-19 due to dengue coinfection. Most often the thrombocytopenia in dengue is self-resolving, and a careful “wait and watch” should suffice unlike COVID-19, where steroids can help if the cytopenia is due to cytokine storm or immune-mediated effects.

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