<s>[INST] hi doctor, pls advise what is the treatment of dengu fever now spreading in kolkata,india for my son aged32 yearswith high fever(102-103degree farenhiet) and mucsle pain and local doctor administrated paracetamal tablets of 650mg 3-4 times a day -pls help- amit mitra [/INST] HelloDengue fever is diagnosed when its pathogens present in blood film i.e. serology test. There develop decrease in platelets count. Normal platelet counts is 15000-450000 CMM. Usually in many diseases platelets also decreases as in malaria but recovers within a short period. As you mentioned that your son is having high grade fever 102-103 F, so such high fever may be due to malaria and so decrease in platelets. So for this get in blood examination for malarial parasites. If malaria is positive and platelets are down, need not worry. Take simple treatment for malaria. In dengue first 5-6 days patient remains high, while there after fever subside and patient feels intense headache and generalized body pain. Get in platelets examination, if it comes Is needed intravenous platelets are advised, otherwise recover itself. Now a day DENGUE is not a big problem. Plenty of fluid and liquid diet with Tylenol are sufficient. Good luck. </s>