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Got A High White Blood Cell Count Of 12.1 Is

Posted on Mon, 13 Jul 2020

Question: Got a high white blood cell count of 12.1 is that normal?

Follow up: Dr. Shailja Puri (6 minutes later)

Also I have a bite above collar bone and in the middle of the chest.Like a bullseye mark on the bite area.

Could have been a brown recluse spider?

is it normal to have swollen lymph nodes and go through all of those symptoms?

And could high white blood cells 12.1 mean a disease or infection?

Follow up: Dr. Shailja Puri (1 minute later)

Took ibuprofen every 4 hours for 8 days.Had fatigue and been in bed resting.

Could this have triggered off an infection in the lungs?

When getting bitten by a spider I might have had the flu or a cold already.

Follow up: Dr. Shailja Puri (1 minute later)

I went from 244 lbs to 230lbs.

Answered by Dr. Shailja Puri (18 minutes later)

Brief Answer:
Differential count needed, Aspiration cytology of lymph nodes suggested

Detailed Answer:
Hello,
Thanks for posting your query on Ask A Doctor forum.
The white blood cell count (WBC) is slightly raised.
However differential count is needed to know the possible cause of WBC increased.
Spider bite can lead to redness, itching, pain on site of bite.
If the symptoms are severe, I suggest you to consult your primary healthcare provider for prescription of anti histaminics.
Enlarged lymph node can occur due to various causes like infection, inflammation or neoplasm.
I suggest you to get an aspiration cytology from the lymph node to know the exact nature of the lesions.
Spider bite is unlikely to cause enlargement of lymph nodes so fast existing flu indicates a viral infection and thus this may be the cause of enlarged lymph nodes.
However, aspiration cytology is suggested.

Thanks and take care
Dr Shailja Puri

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Shailja Puri (41 minutes later)

Do you mean fine needle aspiration cytology.
So a sample of tissue from the swollen lymph nodes

Follow up: Dr. Shailja Puri (1 minute later)

So it could be existing flu or viral infection.

Respiratory infection I think.i hope I haven’t contracted mild coronavirus.

Answered by Dr. Shailja Puri (1 hour later)

Brief Answer:
FNAC is a day procedure.You may get tested for corona virus if required

Detailed Answer:
Hello and welcome again,
FNAC is a day procedure wherein the cells are aspirated from the lymph node to ascertain the nature of cells and probable cause of enlargement of lymph node.
The tissue is not removed in FNAC.
The enlarged lymph node can be due to flu, however, these symptoms are not specific for corona virus infection.
In case you have symptoms like fever and breathlessness, you need to consult your physician and get tested for corona infection.

Thanks and take care
Dr Shailja Puri

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Above answer was peer-reviewed by : Dr. Kampana