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Question

Dengue virus causes high fever, rashes and reduces the number of a particular type of blood cells. Those blood cells are

This question was previously asked in
NDA I 2017 GAT Previous Year Paper (23-Apr-2017)
The correct answer is

Platelets

Understanding Dengue Fever and Blood Cell Impact

Dengue fever is a mosquito-borne tropical disease caused by the Dengue virus. It is characterized by symptoms such as high fever, severe headaches, muscle and joint pains, and skin rashes. One of the significant effects of the Dengue virus is on the blood cells, specifically reducing the count of a certain type.

Which Blood Cells are Affected by Dengue Virus?

The question asks about a particular type of blood cell whose number is reduced due to the Dengue virus, leading to symptoms like high fever and rashes. Let's look at the options provided and their roles in the human body:

  • Monocytes: These are a type of white blood cell (leukocyte) that play a role in the adaptive immune system. They can differentiate into macrophages and dendritic cells, which are involved in fighting infections. While Dengue can affect white blood cell counts (often causing leukopenia, a decrease in total white blood cells), the most characteristically and severely reduced cell type is different.
  • Platelets: Also known as thrombocytes, these are small, irregular-shaped cell fragments in the blood. Their primary function is to prevent bleeding by forming clots and plugging damaged blood vessels. A low platelet count is called thrombocytopenia.
  • Eosinophils: These are another type of white blood cell involved in combating parasitic infections and playing a role in allergic reactions. Their count might fluctuate during various illnesses, but they are not the primary blood cells known to be severely reduced by Dengue.
  • Neutrophils: The most abundant type of white blood cell, neutrophils are crucial for fighting bacterial and fungal infections. Like other white blood cells, their count can be affected by viral infections like Dengue, but the reduction is often less pronounced or differs from the specific cell type highlighted as significantly reduced.

Dengue Virus and Platelet Count

Dengue virus is notorious for causing a significant drop in the platelet count in infected individuals. This condition, known as thrombocytopenia, is a hallmark feature of Dengue fever, especially in more severe cases like Dengue hemorrhagic fever. The virus can affect platelet production in the bone marrow or increase platelet destruction or consumption. A dangerously low platelet count can lead to bleeding complications, which is why monitoring platelet levels is crucial in managing Dengue patients.

Therefore, the blood cells whose number is significantly reduced by the Dengue virus are platelets.

Blood Cell Types and Dengue Impact
Blood Cell Type Primary Function Typical Impact of Dengue Virus
Monocytes Immune response, fighting infections Can be affected, part of general leukopenia
Platelets (Thrombocytes) Blood clotting, preventing bleeding Significantly reduced (Thrombocytopenia)
Eosinophils Fight parasites, allergic reactions Generally not primary cell type reduced by Dengue
Neutrophils Fight bacteria and fungi Can be affected, part of general leukopenia

Conclusion on Dengue and Blood Cells

Based on the effects of the Dengue virus, which causes symptoms including high fever and rashes, the particular type of blood cell that sees a significant reduction in number is platelets. This reduction, thrombocytopenia, is a key feature and concern in Dengue fever management.


Revision Table: Key Facts on Dengue and Platelets

Topic Details
Cause of Dengue Dengue virus
Transmission Mosquito bite (Aedes aegypti)
Common Symptoms High fever, rash, headache, joint/muscle pain
Effect on Blood Cells Reduces the number of Platelets (Thrombocytopenia)
Risk of Low Platelets Increased risk of bleeding

Additional Information on Dengue Fever

Dengue fever ranges from mild to severe. Severe Dengue, including Dengue hemorrhagic fever and Dengue shock syndrome, is a medical emergency. Monitoring platelet counts is vital because severe thrombocytopenia can lead to spontaneous bleeding from the nose, gums, or internal organs. Other laboratory findings often seen in Dengue include leukopenia (low white blood cell count) and sometimes hemoconcentration (increase in red blood cell concentration due to plasma leakage). There is currently no specific antiviral treatment for Dengue, and management focuses on supportive care, including hydration and monitoring platelet levels.

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