<s>[INST] I am having quite a high fever from last five days. Yesterday I was admitted to local hospital. Looking at my symptoms doctors took blood test for malaria and dengue as I had travelled one week back from countryside in India. Both test were negative then they took sgpt test which is 90 and doctor said my lever is enlarged slightly. My platelets count are also low around 127000. May I know what can be the exact reason ?? [/INST] Hi thanks for asking question in Chat Doctor. Your dengue and malaria report negative which are common cause of low platelet. Let me know you temporary cytomegalovirus or infectious mononucleosis like viral infections also can lead elevated liver enzymes. Take rest and symptomatic management done. After week repeat test... If still high USG and viral marker study done to rule out fatty liver, viral hepatitis and gall stone like condition...Meanwhile, try to cut of oil in diet with fruits more.... If still enzymes high according to detailed history and examination further work up done.... Hope your concern solved. Chat Doctor.  </s>