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What Causes Fever And High WBC Count?

Posted on Fri, 22 May 2015

Question: Hello doctor
I am 42 years old male. I was suffering from fever from 28 Mar 15. I went to doctor and she advised me to go for CBC. In that report my wbc was on the higher side 11900. she prescribed me Augmentin 1 gm for 3 days. After taking fever went down but after 3-4 days again it came as previous. I went to another doctor and again he advised me CBC and my wbc was on the higher side 14000. He prescribed me antibiotics for 6 days but neither fever nor wbc level went down. than I visited another doctor and he admitted me there and through dip gave me 3 days ofloxacin and cefzime followed by cefixine tablets for 6 days. Fever went down with very first day but when I went for CBC again than my wbc counting is still on the higher side 15000. my hb level is also down may be because I cudnt take proper meals for 20 days during fever. now he us advising me for blood culture but I m worried as he said that it may be some big problem with me. Please advise me the what I sud do. In January 15 also I had viral infection and my wbc was high. that time I took antibiotics for 5 days and it went down. Please advise me what may be the problem with me and what I sud do at this stage.

Answered by Dr. Muhammad Ahmad (16 minutes later)

Brief Answer:
I would need some info

Detailed Answer:
Hi,

Welcome to Health Care Magic.

I am Dr.Muhammad Ahmad, I have read your question in detail, I understand your concern and will try to help you in the best possible way.

In order to help you better , I would like you to give me some more information,

I will here by ask you some relevant questions to fill up the information gap.

1) Have you lost any weight?

2) Any history of constipation?

3) Is Typhoid common at ur place?

4) Did they do typhoid test on you?

5) When is you culture expected to be done?

6) Any fever now?

7).Any cough?

Waiting for your input

Regards.

Dr.Muhammad Ahmad.

M.B.B.S ( Licensed Family practitioner)

Resident M.D.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Muhammad Ahmad (2 hours later)

Thanks for your reply.

1. yes doctor I lost weight 3 kg during my fever period of 20 days from 30 Mar 15 to 19 Apr 15. But wud like to mention that I was not taking proper meal that time due to bad taste of my mouth
2. Initially when fever started than consipation was there but subsidised later.
3. yeah typhoid is common here.
4. yes I went for typhoid taste 3 times one time with taste tube method but report is negative
5. I didn't go for blood culture test yet.
6. no after 19 Apr I don't have fever
7. no cough

Answered by Dr. Muhammad Ahmad (25 minutes later)

Brief Answer:
I would suggest you to get the culture done.

Detailed Answer:
Hi XXXXXXX

Thanks for writing back,

I hope you have been doing great.

It's good to know that your fever is not there any more.

If this wasn't typhoid then still it was some infection which responded to antibiotics. Even typhoid sometimes comes false negative in tests.

Well I will suggest you to get your culture done if that comes out clear then you can take a XXXXXXX of relief and if something is found wrong at least culture will tell which drug can be given for completely controlling the infection.

Also discuss with your doctor getting some tuberculosis work up done this is common in south east Asia if you are there or visited it lately.

I want to assure you that there doesn't seem to be anything dangerous, fever and hight WBC can be there in some forms of cancers but WBC in them are much much high reaching 40-50 thousand and they don't get settled by antibiotics.

So most probably it is some bug which is causing the symptoms i believe ,and hopefully this bug will come on culture.

Then there is always an option to repeat CBC on monthly basis to see if things are getting better or worsening .

But till then you don't have to panic just get the culture done and see what results suggest.

I Hope this answers your question, if your have more queries feel free to ask, otherwise close the discussion and rate it. Wish you the best of health.

Regards,

Dr.Muhammad Ahmad.

M.B.B.S.

Resident M.D.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Muhammad Ahmad (14 minutes later)

Thanks for your reply doctor I am feeling relaxed. I was too much worried about it. I will get my culture done. I forgot to mention to you that I am suffering from DVT and on acitrom 6 mg OD. Is there anything due to this?
I have hypertension too and taking Telma CT 40/6.25 OD. is there anything due to this?
I am suffering from sinusitis but not taking any medicine for this.
When in January 15 I was having WBC high than after one month I was detected with typhoid but was of very mild in nature. typhi H was 1:80 and by that time my fever was ok so I went for ayurvedic medicine n it was ok. should I again go for typhoid test?
specially I wud like to know that due to blood thiner I have some problem or what

Answered by Dr. Muhammad Ahmad (3 hours later)

Brief Answer:
DVT can cause it too

Detailed Answer:
Hello,

Thanks for fruther information.

You have definitely told me another suspected cause other than infection.

Research says that DVT can also cause rise in WBC,

Ia will try to share some good research with you as well.

None of your medicines is expected to do this.

I will suggest you to take care of your DVT and DVT meds plus get a culture done , then you will get to know about further plan.

Here is a link to a research:

http://www.ncbi.nlm.nih.gov/pubmed/0000

..If you are getting a culture. Repeating a typhoid test wont be needed.

I hope you are having more idea about the issue.

You can aks me any further questions if your have.

Regards Dr.Ahmad

Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar