The relationship of thrombocytopenia and bacteremia in children

A number of studies have noted the link between thrombocytopenia and bacteremia. According to Corrigan, 55% of children with gram-negative bacteremia and 77% with gram-positive bacteremia of platelets had less than 150×109 / l.

Most of these patients had obvious symptoms of the disease and many showed signs of disseminated intravascular coagulation. During the examination of 98 children in the postoperative period, Rowe found that the number of platelets less than 150×109 / l was observed in all patients with gram-negative sepsis, and above 150×109 / l in all other patients.

The results suggest that determining the number of platelets does not assist in the diagnosis of gram-positive bacteremia. Thus, although a reduction in the number of platelets in the peripheral blood of a patient with fever makes you think about possible bacteremia, a final diagnosis based on this cannot be made.

In the majority of studies, data on thrombocytopenia in patients with bacteremia were obtained when studying various groups, so it is difficult to compare them with the above information. So, it has not been proven that determining the number of platelets is important in the routine examination of children with acute fever.

local_offerevent_note February 15, 2019

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