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What Does This Blood Report Indicate?

Posted on Tue, 14 Jun 2016

Question: My 7 year old has .2 immature Granulocye, 51% lymphocytes, 8.1% Monocytes, 38.1 % neutrophils and low red blood count. What all could be doing this?

Answered by Dr. Shailja Puri (1 hour later)

Brief Answer:
Monocytes and lymphocytes are mildly increased,could be viral infection.

Detailed Answer:
Hello,
Thanks for posting your query on HealthcareMagic.

The differential count for a 7 year old shows a normal neutrophils, slightly elevated monocytes, slightly elevated lymphocytes and presence of @% immature myeloid cells.
This picture is not suggestive of anything serious.
This could be due to viral infection.
Is there any recent history of fever? Since viral infection is commonly associated with fever.
Low red blood cell count can be due to decreased production or increased loss of blood.
It would be more informative if you could post the hemoglobin level and hematocrit also.
However, the differential count is slightly disturbed but does not indicate anything serious or abnormal.

Thanks and take care
Dr Shailja Puri

Above answer was peer-reviewed by : Dr. Deepak

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

He has a fever 4 to 5 days a week and has been sick since Febuary and all they keep saying in viral. This has been goimg on way to long. Hemoglobin 12.1 Hematocrit 36.2%.

Answered by Dr. Shailja Puri (56 minutes later)

Brief Answer:
Hb and hct normal,elevated lymphocytes and monocyte- due to viral infection

Detailed Answer:
Hello and welcome again,
The hemoglobin (Hb) and hematocrit (hct) are within normal range for age and sex.
History of fever, possibly due to viral infection is the cause of elevated lymphocytes and monocytes.

Thanks and take care
Dr Shailja Puri

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Above answer was peer-reviewed by : Dr. Deepak