Victim critical, has fever and internal bleeding: Docs

The condition of the 23-year-old woman who was gangraped on board a bus a week ago "deteriorated somewhat" on Monday after the first signs of internal bleeding surfaced Sunday night.

Doctors said blood was oozing from drainage sites in her abdomen and intestines, indicating sepsis or severe blood infection.

Dr B D Athani, medical superintendent of Safdarjung hospital, said, "Her platelets had dropped drastically from 40,000 to 19,000/uL of blood, and internal bleeding was a complication we were fearing."

Dr P K Verma, who heads the critical care unit, said that in "relative terms", her condition appears to have deteriorated.

"From Sunday night, the bleeding started and we had to go for transfusion. The entire processes of replacement causes stress in the body. Though her lungs are fine and her urine output normal, indicating that her kidneys are functioning fine, she is more critical," Dr Verma said.

Dr Athani said: "She was administered platelet-rich plasma, fully frozen plasma and single-donor plasma, the three richest source of platelets. By Monday afternoon, this helped in increasing her platelet count to 70,000/uL of blood."

Dr M C Misra, chief of AIIMS trauma centre, said: "Blood transfusion will continue over the next 3-4 days to help restore her body's own coagulation profile, so she does not need any platelet support." The woman also has fever, again an indicator of rising infection.

Doctors said she was been counselled a second time. Despite her "fragile health", she was "relatively composed". Her parents have also been counselled for the first time after her admission. "There was no evidence of any anxiety or depression. She remains relatively composed" said Dr Rajesh Rastogi, head of psychiatry department.

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