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Is it possible to have low blood pressure and symptoms of anemia after dengue?

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Patient's Query

Hi doctor,

I am a 34 years old female, 5.3 feet in height, and 163 lbs weight. Last month I suffered from dengue fever DHF NS1 antigen positive right lung pneumonia right lung pleural effusion, ascites, and type 1 respiratory failure, anemia and PV bleeding. Now after recovery, I consulted doctor, he carried out various test as found all normal except reticulate count 3.2, Hb 9.9, mean corpuscular vol 104.7 plus all ultrasound and X-ray are now normal. Coombs direct test is positive so doctor has told to consult hematologist regarding this and current prescription is Folic acid 5 mg only.

My problem is only weakness and low blood pressure and symptoms of an anemic patient. Kindly guide what is the treatment for coombs test positive patient.
Answered by Dr. Goswami Parth Rajendragiri

Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

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Hello,

Welcome to icliniq.com.

The positive direct Coombs test is suggestive of some form of hemolytic anemia in which antibodies bind to red blood cells. The DCT could be positive because of immune hemolytic anemia. Dengue infection is a form of viral infection, and it can cause immune hemolytic anemia for a short time. So, your DCT might be positive.

Drink lots of water and fruit juice. After full recovery from dengue, repeat the DCT test after a few days. The iron supplement can be prescribed. You can consult a nearby hematologist for a detailed evaluation.

I hope this helps you.

Thank you.

Medically reviewed by Dr. Divya Banu M
Published At November 18, 2019
Reviewed At May 29, 2026

Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Divya Banu M is a dedicated Dental Surgeon with valuable clinical experience. She specializes in the diagnosis, prevention, and treatment of various diseases and conditions affecting the oral cavity. With a gentle and patient-centered approach, she is committed to promoting oral health and enhancing smiles through quality dental care. Her areas of expertise include restorative dentistry, preventive dental care, and cosmetic dental procedures.

This doctor is not available for online consultations on the platform anymore.

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

Dr. Goswami Parth Rajendragiri
Dr. Goswami Parth Rajendragiri

Pathology

Consult this doctor

Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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