Pulse Hospital (A Unit of EMC Hospitals) Why Platelet Count Drops in Dengue Fever – And How You Can Stay Safe By Dr. Rishabh Arora, Senior Physician, Pulse Hospital


Amritsar, July 26, 2025 – Dengue fever is a dangerous viral infection transmitted by the Aedes aegypti mosquito. It typically spreads during or immediately after the monsoon season, when stagnant water becomes a breeding ground for mosquitoes. Symptoms of dengue include high fever, headache, pain behind the eyes, muscle and joint pain, fatigue, skin rashes, and most notably, a significant drop in platelet count. This sharp decrease in platelets is what makes dengue more serious than a typical viral fever.
Why Does the Platelet Count Fall in Dengue?
Platelets are tiny cells in the blood responsible for clotting and preventing excessive bleeding. When the dengue virus enters the body, it attacks the bone marrow — the production site for blood cells — thereby slowing or halting the production of platelets. Simultaneously, the body’s immune system becomes hyperactive and starts destroying its own platelets. This dual impact causes the platelet count to drop rapidly during dengue.
Additionally, dengue damages the walls of blood vessels, causing platelets to leak out. This increases the risk of internal bleeding, especially when the platelet count falls below 20,000. In severe cases, dengue can lead to Dengue Hemorrhagic Fever or Dengue Shock Syndrome — both of which can be life-threatening.
Advanced Dengue Treatment at Pulse Hospital
Dr. Rishabh Arora, Senior Physician and Dengue Specialist at Pulse Hospital (a unit of EMC Hospitals), emphasizes that early detection and proper care are the most effective ways to manage dengue. If diagnosed and treated on time, the platelet count can be stabilized, and life-threatening complications can be avoided.
There is currently no specific antiviral treatment for dengue. However, supportive care remains the most effective method. Dr. Arora advises that patients should get adequate rest, use only paracetamol to manage fever (avoiding aspirin and NSAIDs like ibuprofen, as they thin the blood), and stay well-hydrated. Fluids such as ORS, coconut water, fruit juices, and electrolyte-rich drinks can help maintain platelet stability.
Platelet transfusion is only necessary when there is a risk of internal bleeding or if the platelet count falls to dangerously low levels. Simply worrying about the number without symptoms is not recommended. Regular blood tests and timely medical consultation are key.
Comprehensive Dengue Care at Pulse Hospital
Pulse Hospital offers a dedicated High Dependency Unit (HDU) and 24×7 emergency services for dengue patients. With trained doctors and modern infrastructure, patients receive continuous, expert care.
The hospital follows a dengue-specific treatment protocol customized for each patient. Advanced lab facilities for platelet monitoring, a fully-equipped ICU, transfusion units, and multi-specialty medical teams are available to address every possible complication.
A Public Appeal for Awareness
Pulse Hospital urges the public not to ignore the symptoms of dengue. If you experience sudden high fever, severe headache, or unexplained fatigue, consult a doctor immediately. Prevent mosquito breeding by keeping your surroundings clean, avoiding stagnant water, using mosquito nets, and wearing protective clothing.