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What Does Low White Blood Cell Count Indicate?

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Posted on Wed, 24 Sep 2014
Question: Been feeling ill for a month had low grad fevers was given keflex, fever came back high this time, was put on 2000mg keflex a day. Had blood work pulled on Wednesday and all was perfect except wbc was a little low 3.6 lymphocytes .63 plateIets 186 already had a fever when they pulled this lab. 3 days later I went to ER and wbc 1.7 and platelets 94. They told me I need to get a biopsy cause it might be cancer.....scared me and I am not sure I fully agree.
doctor
Answered by Dr. Monish De (15 hours later)
Brief Answer:
whole body PET scan

Detailed Answer:
Hi

Low white blood cell count can be due to cancer or other diseases that damage bone marrow, leukemia, overwhelming infections that use up white blood cells faster than they can be produced and viral infections that temporarily disrupt bone marrow function.

If white blood cell count does not return to normal after completion of course of Keflex which contains cephalexin which is a first-generation cephalosporin antibiotic then i suggest u do a whole body PET scan.

If any space occupying lesion is found in the scan then u need to do biopsy from it to rule out malignancy.

Hope i have answered your query

Regards

DR De
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Monish De (4 hours later)
My wbc was 3.6 just 3 days prior, cancer does not bring it down that quick dies it? Also keflex has the possibility of disrupting bonne marrow too right?
doctor
Answered by Dr. Monish De (13 hours later)
Brief Answer:
Blood and urine culture

Detailed Answer:
Hi

Cancer does not bring down white blood cell count so quickly and also keflex causes bone marrow depression as its adverse effect.

You do not need to worry at this moment and most probably you are suffering from some infection and I suggest you do a blood and urine culture test to find the cause of your low grade fever.

If you have no more clarifications then rate the answer and close the thread.

Regards

DR De
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
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Answered by
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Dr. Monish De

Oncologist

Practicing since :2004

Answered : 2229 Questions

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What Does Low White Blood Cell Count Indicate?

Brief Answer: whole body PET scan Detailed Answer: Hi Low white blood cell count can be due to cancer or other diseases that damage bone marrow, leukemia, overwhelming infections that use up white blood cells faster than they can be produced and viral infections that temporarily disrupt bone marrow function. If white blood cell count does not return to normal after completion of course of Keflex which contains cephalexin which is a first-generation cephalosporin antibiotic then i suggest u do a whole body PET scan. If any space occupying lesion is found in the scan then u need to do biopsy from it to rule out malignancy. Hope i have answered your query Regards DR De