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What Does This Haematology Report In A Person With Kartagener's Syndrome Indicate?

Posted on Fri, 8 May 2015

Question: My heamatology is as follows,
heamoglobin 16.7
packed cell volume 50.3%
Total wbc 11180
neutophils 84.0
lymphocytes 10.9
eosinophils 0.4
monocytes 4.4
basophils 0.3
red blood cells 5.53
mean corpusular volume 89.3
mean corpusular heamoglobin 29.7
mean corpusular hb 33.2
platelet count 416000
esr 44
patient time 11.60
control group 12.5
RAndome glucose levels 106
total cholesterol 156
total protiens 10.0
globulin 6.00
albumin globulin ratio 0.67
total bilirubin 0.70
direct bilirubin0.53
indirect bilirubin 0.17
albumin electrophoresis 4.0
alpha 1 ..0.6
alpha 2 1.1
beta 1.1
gamma 3.2
liver panel
aspartate aminotransfease ast 21.0
alanine aminotransfease 16.0
gamma gt 16.0
alkaline phosphate pnpp 110
serum creatine 0.7
T3 1.43
T4 12.60
TSH 1.16
GLYCOSYLATED HEMOGLOBIN 4.80
ESTIMATED AVARAGE GLUCOSE PAST 60 DAYS 91.06

PROTIEN FRACTIONS
ALBUMIN 4.0
ALPHA 1 0.6
ALPHA 2 .1.1
BETA 1.1
GAMMA 3.2
I have karageners syndrome, my pulmonologist says theses levels are high due to infection please advice furture , is it worrisome?

Answered by Dr. Arun (3 hours later)

Brief Answer:
Please provide information...

Detailed Answer:
Hello XXXXX,

Thank you for asking query. I read and understand your concern, I am Dr Arun Tank answering your concern.

I have few question to ask you, answer of the concern can help me to help you further.

Do you have any sputum production? Cough? And for that have you undergone any microbiological testings like culture and sensitivity?

Please provide information to help you further.

Thank you

Dr Arun Tank
Infectious Disease specialist

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Arun (53 minutes later)

I have daily removal of sputum , cas i have cystic bronchiectasis, my AFB was negitive, i have no pheural effusion , no lymphadenopathy.all test done recently my my pulmonary doctor.

Answered by Dr. Arun (19 hours later)

Brief Answer:
Take antibiotics as per the report prevent future infection...

Detailed Answer:
Hello XXXXX
Thank you for the response.

You must undergo laboratory testing of the sputum for culture and sensitivity.

In the kartanegar syndrome cilia or short hair is absent in the respiratory tract. This hair are responsible for the rapid clearance of bacteria from the tract.

So in this syndrome it is likely that you have infection of the respiratory tract. Culture and sensitivity can guide us regarding possible pathogen and its sensitivity pattern.

Once you take the drug according report all your infection will come to end.

As you have this syndrome you have to be careful for future infections. I advice you to wear a mask that can prevent exposure to infectious agent.

Good hand washing and good hygiene can be helpful to prevent infection please adopt this habit in the life.

You can ask me for further information

Thank you.

Above answer was peer-reviewed by : Dr. Pradeep Vitta

Follow up: Dr. Arun (7 minutes later)

Thankyou doc , i just want you to clear my doudth as you see few if my levels like beta, gamma on the higher side, is it of concern or do i ignore this cas of my kartageners?? Pls advice in detail.

Answered by Dr. Arun (18 hours later)

Brief Answer:
Taking drug and prevention for infection can bring level to lower side..

Detailed Answer:
Thank you for asking query dear.

Yes, your report is stating some parameters are on higher range side.

I assure you that once you cured with the infections and you take proper precaution for not getting infected, your all higher range will come to down side.

You can ask me for further clarification.

Thank you,
Dr Arun Tank
Infectious diseases specialist.

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Shanthi.E