My Daughter Of One Year Old Got High Fever And

Posted on Sun, 19 Apr 2020

Question: My daughter of one year old got high fever and was treated with antibiotics . Hr lymphocytes and monocytes at the start of the treatment were 1600 and 1200 respectively. After five days of treatment her lymphocytes surged to 6000 and nuetrophils fell down to 1300. Is would like to understand the rationale behind this . She has been asymptomatic after two days of treatment. Thanks

Follow up: Dr. Shinas Hussain (2 minutes later)

All the other parameters in her cbc are within the range

Answered by Dr. Shinas Hussain (1 hour later)

Brief Answer:
It is quite common with viral infection.

Detailed Answer:
Hello,
Thanks for the query.
Lymphocytes and monocytes are part of white blood cells(WBC) and most common cause for elevated WBC count is infections.
As a general rule the lymphocyte count is elevated in viral infection and neutrophil count is elevated with bacterial infection. Variations are possible.
In this case the rise in lymphocytes can be attributed to a possibility of viral infection.
Almost always it will be a transient change and will return once the infection settles.
As she is asymptomatic no need for furthers testing is required.
Hope I have answered your query.
Thanks

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Shinas Hussain (8 minutes later)

Thank you Doctor. I can see that her nuetrophils count has been reduced post infection. Is that an indication that she is still fighting an infection.

Answered by Dr. Shinas Hussain (29 minutes later)

Brief Answer:
It can be a resolving infection.

Detailed Answer:
Hello,
If she is asymptomatic, there is no point in chasing these numbers.
It will take some time to settle the values.
Thanks

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Above answer was peer-reviewed by : Dr. Prasad