<s>[INST] Dr ITP was diagnoized during a hospital treatment for dengu fever in 2007. Took Wyslone and omnacartil, which led to fatigue. Now the body has adapted low platelet counts. No abnormality in Bone marrow test. Whenever infected with viral infection, the count comes to precariously low level. What further treatment can be suggested? [/INST] Hi Went through your post and as you know that you are suffering from ITP which has a reuniting and relapsing course and can be aggregated by anything that suppress the bone marrow, like infection especially viral some Chat Doctor.  Till date there is no permanent curable therapy for ITP, splenectomy and bone marrow transplant are used in extremely non-responsive patients. I would suggest you should have flu shorts every year and pneumococcal vaccination every five years to decrease incidence of infection. </s>