Understanding Antibiotic Treatment During Dengue Hospitalization
Why am I receiving antibiotic infusions while hospitalized? Is this merely a tactic to increase costs since I'm covered by insurance? I'm a 27-year-old male, standing 5 feet 9 inches tall and weighing 70 kg. Recently, I was diagnosed with dengue fever about three days ago. At first, I had a high fever, but my platelet levels were stable at 150,000, then 130,000, and again at 130,000. I was managing my recovery at home when my platelet count unexpectedly dropped to 83,000, prompting my hospital admission. Upon my arrival, I underwent a stomach ultrasound, and I have been placed on antibiotic therapy. I'm questioning the necessity of these two procedures. Are they genuinely required, or are they additional measures taken by the hospital to inflate costs? When I inquired about the rationale behind administering antibiotics for dengue, the hospital staff explained that it is a standard protocol to prevent potential infections. This leaves me pondering whether this treatment is a true necessity or just an accepted practice in such cases.
Answers (1)

7/28/2025, 5:02:02 PM
OpenHealth AI
It's understandable to be concerned about the treatments you're receiving during your hospitalization, especially regarding the use of antibiotics with a dengue diagnosis. Here’s a breakdown of your concerns:
Main Points
- Antibiotics are generally not needed for dengue itself, as it is caused by a virus. However, they may be prescribed to prevent or treat secondary bacterial infections.
- Your doctors are likely acting based on established protocols for your protection, especially since your platelet count has dropped and can increase the risk of infections.
Explanation
Dengue fever is caused by a virus, and antibiotics do not treat viral infections. However, when someone is hospitalized with dengue, particularly with a drop in platelet count (as in your case), there can be an increased risk of complications, including secondary infections. Therefore, hospitals often administer antibiotics as a precaution, especially if there are concerns about other infections, like those from your ultrasound results, or if your immune system is compromised.
Next Steps
-
Communicate Clearly: Keep asking questions. If you have doubts about the necessity of antibiotics, express these concerns to your healthcare team. They can explain specifically why they feel it is necessary in your case.
-
Monitor Symptoms: Pay attention to your body. If you start experiencing symptoms such as fever, unusual swelling, or signs of infection (like red spots, pain, or changes at the injection site), inform your medical team immediately.
-
Understand Treatment Goals: Ask about the rationale for the ultrasound and how its findings relate to your dengue treatment. Knowing this can help you feel more informed about your care.
-
Stay Informed: Educate yourself about dengue and its complications. The CDC and WHO provide valuable resources regarding dengue management.
Remember, while it’s important to ensure the treatments are justified, your health and safety are the primary concerns of your medical team. Your active engagement in understanding your treatment can help you feel more in control during this time. If you have further questions about your specific situation or treatment, don't hesitate to ask your healthcare team for clarification.
Related Questions
Navigating Tonsil Issues and Potential MCAS
Hello! I'm scheduled to meet my ENT specialist on Thursday to discuss some concerns, but I felt compelled to reach out for some insights before then. I'm a 27-year-old woman, and for as long as I can remember, I've struggled with heat exhaustion, with symptoms intensifying as I grew older. I often overheat in unexpected situations, which leads to dizziness and headaches – a point I’ll elaborate on shortly. Over the past two years, I’ve been prescribed Propranolol and Montelukast, which have helped manage my severe acid reflux; prior to this, I was suffering from monthly sinus infections. Unfortunately, a few months back, I ran out of my medications. Following that, I found myself plagued by intense coughing and a feeling of congestion, resembling severe allergies. After I refilled my prescriptions, I anticipated relief, but a month later, my condition has only worsened. I now deal with a persistent thick mucus in my throat, frequent coughing so severe that it induces gagging, and I've started to notice small white particles, which I suspect might be tonsil stones. As I mentioned, I will be seeing my specialist soon, but I can’t shake off my anxiety regarding this situation. I can't help but wonder if a tonsillectomy might be necessary. I’ve encountered numerous distressing accounts of adults undergoing this procedure, and the thought frightens me. Additionally, another physician previously suggested discussing the potential of having Mast Cell Activation Syndrome (MCAS). Upon examining the symptoms, it appears that I align closely with them. I experience flushing, hives, gastrointestinal disturbances, congestion, headaches, fatigue, and more. I’m unsure what specific advice I’m seeking, but perhaps some reassurance that this situation may not be as dire as I fear? It’s incredibly frustrating to feel like I can’t breathe due to the thick mucus, coupled with poor sleep and incessant coughing. I'm just feeling overwhelmed. Any support would be appreciated!
Concerns Over a Red Spot on the Hard Palate
Subject: 28-Year-Old Female Health History: Asthmatic, Recently Experienced Severe Sinus Infection, Uses Ventolin Inhaler, Managing Health Anxiety (Currently on Citalopram) Approximately an hour ago, I discovered a red mark on the hard palate of my mouth. I tend to be somewhat careless with my eating habits, often leading to burns or scrapes from food, particularly when snacking on chips. This area does not cause substantial discomfort unless I apply pressure to it. Visually, it resembles a tiny pimple, which raises some concern for me, especially since I struggle with health anxiety. Earlier today, I sipped a hot coffee that turned out to be hotter than I expected, as well as consumed some sharp foods like chips, biscuits, and muesli. Given that this spot just appeared today, should I be worried about it?
Occasional Finger Swelling: Is It Normal?
F. 32 years old, weighing 118 lbs, taking 20 mg of Lexapro and 10 mg of Buspar each day. Is it typical for fingers to experience slight swelling? I've been observing this occasionally, particularly in the mornings when I first wake up. My fingers also feel somewhat stiff and tender when I try to bend them in the early hours. Today, I experienced this swelling again while I was outdoors, especially considering the temperature was a scorching 90 degrees. I admit that I don’t stay as hydrated as I ought to, and I tend to enjoy salty foods, which leads me to wonder if these factors could be contributing to the problem. This is a new issue for me, apart from instances during my pregnancy. I've only begun to notice this swelling over the past couple of months. I have a physical examination scheduled for this Friday. Should I mention this swelling to my doctor? Due to my anxious nature, I tend to worry about serious issues...
Persistent Itchiness on My Toes
I am a 38-year-old individual, weighing 175 pounds and standing at 5 feet 4 inches tall. For over a decade, I have been grappling with a frustrating condition affecting my big toes. Despite consulting a range of medical professionals, including dermatologists, podiatrists, and general practitioners, I have yet to find actionable solutions or effective therapies. The itchiness primarily occurs on the tops of my big toes. Strangely, there are no visible rashes and the irritation doesn’t spread to other areas. Flares can be unpredictable; I can go several months without any symptoms, but when they do appear, they can persist for weeks at a time. This discomfort tends to intensify during the night, and exposure to heat exacerbates the problem. Often, the itchiness becomes so overwhelming that I find myself scratching until I create blisters, even while in a half-asleep state. I’ve experimented with a wide variety of lotions, body oils, and topical treatments, including hydrocortisone and prescription-strength steroid creams, but to no avail. I’m seeking guidance or advice on how to address this persistent issue!
Concerns About Our Son's Health
We are the parents of a delightful four-year-old who weighs approximately 33 pounds. He was diagnosed with Immune Thrombocytopenic Purpura (ITP) around the age of two, and this condition has persisted since then. Initially, following his diagnosis, he received intravenous immunoglobulin (IVIG) in the hospital, resulting in a remarkable improvement — his platelet count surged from 12,000 to 53,000 within just 36 hours. He has been prescribed various medications, and he is currently taking Sirilimus at a dosage of 1.6 ml, along with 10 mg of Nexium. The Nexium was originally prescribed due to a different medication related to his ITP, and attempts to reduce the Nexium dosage have consistently led to significant declines in his platelet levels. The medical team at the hospital is baffled by this correlation, having stated that there is no scientific evidence to explain why the reduction in Nexium correlates with the drop in his platelet count. They suspect that there may be minor bleeding occurring in his intestines. In recent weeks, he has been experiencing intermittent fevers resembling viral infections. Approximately every three to four weeks, he develops a fever lasting one to two days. During these episodes, his temperature rises to between 101°F and 103°F, accompanied by headaches and pain in his knees. His latest fever began on a Saturday, peaking at 104.4°F. We took him to see his pediatrician, who tested for strep, influenza, and COVID-19, all of which returned negative results. The pediatrician suspected a viral cause. Over the past 48 hours, we have been administering Motrin every six hours to manage his fever; however, it only provides temporary relief. The past two days have involved vigilantly tending to him, using damp cloths to cool his forehead and back. As the cloths warm from his skin, I rinse them in cold water and reapply them to provide him with some comfort. My wife has a rheumatology appointment scheduled for tomorrow. Watching him suffer is heartbreaking, and we are increasingly concerned as the intensity of the fever spikes seems to be worsening, not just in the moment but progressing with each episode, leaving us feeling helpless. Additionally, I want to mention an incident that may or may not be connected. He has had several iron transfusions in the past, all of which were uneventful. However, during his most recent transfusion, which was administered with sucrose after the insurance denied the usual formula, he exhibited symptoms resembling anaphylaxis shortly after the infusion concluded. He became limp in my wife's arms, and there were signs of respiratory distress. A rapid response was activated, and multiple doses of epinephrine were required to stabilize him. Interestingly, subsequent blood tests conducted about half an hour after this reaction did not reflect the expected markers for anaphylaxis. At this moment, he is one hour post-administration of 5 ml of Motrin but is still experiencing a fever of 101.3°F, and he is crying from a headache. I am seriously considering taking him to the children's hospital rather than waiting for the appointment in the morning. I would appreciate any insights on what might be occurring with his health.