Impact of Arsenicum Album in the Management of Acute Dengue Fever with Bicytopenia: A Case Report

Abstract

Dengue Fever presents critical therapeutic challenges due to rapid bone marrow suppression and associated visceral parenchymal damage. A 67-year-old female presented with high-grade fever, profound adynamia, persistent nausea, and a subjective bitter taste. Laboratory evaluations confirmed Dengue Fever (Figure 2) , revealing acute bicytopenia with a critical platelet crash (85,000/µL) (Figure 5) and biochemical hepatic involvement. Individualized Homeopathic treatment utilizing Arsenicum album 30 was initiated. Rapid clinical stabilization, subsidence of pyrexia, and a complete reversal of hematological parameters were documented. Within 72 hours, the patient became afebrile, gastric symptoms resolved, and bone marrow recovery was evident as platelets and WBC count improved to 64,000 and 2,450 (Figure 7) respectively. This case underscores the utility of individualized Homeopathic therapeutics in mitigating severe hematological crises and accelerating bone marrow recovery during the critical phase of Dengue Fever.