What Do These CBC And Blood Smear Examination Reports Indicate?

Posted on Thu, 15 Sep 2016

Question: Respected Sir,
My son was suffering from viral fever that persisted for 6-7 days. He took below medicines for 5-6 days.
i) Syp P-250 (paracetamal)
ii)Syp Maxtra (cold)
iii)Syp Taxim-o-forte (antibiotic)
As fever continued for long time (7 days), my son underwent CBC and Perpheral Blood Smear Examination tests.
I have attached the reports. Kindly have a look at it and please advise if I need to concern for any thing in the report. Thanks in advance.

Answered by Dr. Diptanshu Das (1 hour later)

Brief Answer:
Not a cause for concern.

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone through your query as well as the attached report. The report is indicative of a viral infection and is not concerning. You need not worry.

Viral infections need not be treated with antibiotics. Antibiotics do not have any role to play here. It is simply a bad practice to prescribe antibiotics unless investigations speak in favor of bacterial infections (raised WBC count, raised neutrophil count, raised C-Reactive protein level, raised procalcitonin etc.).

Let me know if I could help further.

Regards

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

Follow up: Dr. Diptanshu Das (11 hours later)

Thanks Sir for giving precious information/advise.

I) Just wanted to make sure if the below result (shown on page-2 in the report attached before) also an indicative of viral infection ?

TEST NAME                          RESULTS
_________                          ________

PERIPHERAL BLOOD SMEAR EXAMINATION     Microcytic hypochromic anemia

II) In addition, also request you to kindly look at below the Liver Funtion test result that I forgot to attach before. Please comment if it looks good

LIVER PANEL, SCREEN     (Reflectance Photometry)

Test Name           Results          Units      Bio. Ref. Interval
______________________________________________________

AST (SGOT)      77           U/L      <50
ALT (SGPT)           30           U/L      <50
Bilirubin     Total      0.14          mg/dL     0.30 - 1.20
Bilirubin     Direct 0.05          mg/dL     <0.20
Bilirubin     Indirect 0.09          mg/dL     <1.10
Total Protein      6.09          g/dL      6.00 - 8.00
Albumin           4.08          g/dL      3.80 - 5.40
A : G Ratio           2.03                0.90 - 2.00

Many Thanks and Regards.

Answered by Dr. Diptanshu Das (7 hours later)

Brief Answer:
Questions answered one by one

Detailed Answer:
Thanks for writing back. Sorry for not being able to respond faster.

Hypochromic microcytic anemia indicates iron deficiency anemia and calls for iron supplementation.

The liver function test report is within acceptable range.

The funny part with viral infections is that they hardly cause any changes in any investigation report and hence the diagnosis is rather by exclusion. There would be no specific tests that will give definite indication that it is a viral infection.

Feel free to write back.

Regards

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

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