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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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7 Month Daughter. Blood Tests Done. Suggestions?

hello my my daughter just had blood taken away a week ago and i just got the results..need answers please if u can..she is 7 months old and her Lymphocytes is 72% and its to be a [20-45%] and polymorphs is 15%haemoglobin is 10.8 .RBC: 4.38 millions/c[3.8-5.8].packed cell volume : 32%[38-47]
PHERIPHERAL SMEAR STUDY:
RBC : Anisocytosis++ microcytes+ hypochromia+
WBC: Lymphocytic leukocytosis noted.few reactive lymphocytes seen. Platelets adequate.

When she is 2 month old she got fever which lasted 10 days.No vomiting.No cold.No loose motion.litte cough.
ANTIBIOTICS is given for 5 days.fever is 101 0r 100 in first 3 days.after giving antibiotics armpit temperature is always 99 OR NORMAL or rarely 100 .I want to know is 99 is normal temperature for babies . she is active when temperature is 99.

At the time two times blood test is done.
At first blood test report shows
haemoglobin is 10.5
wbc is 26.1[4.0 - 11.0] lymph# is 7.3[0.8-7.0].lymph% is 27.9[20.0-60.0]
PLT:540[150-400]
RBC : 3.57[3.57-5.20]
I.C -REACTIVE PROTEIN:1.3 MG/DL[UPTO 6.0]
After 6 days blood test again taken
haemoglobin is 10.8
wbc is 17.1[4.0 - 11.0] lymph# is 11.3[0.8-7.0].lymph% is 63.6[20.0-60.0]
PLT:551[150-400]
RBC : 3.57[3.57-5.20]
I.C -REACTIVE PROTEIN:3.2 MG/DL[UPTO 6.0]
after 10 days she becomes normal.
after that she is good health.her weight is 7.8.

My query is increase is lymphocytes is any cause of serious diease?
Fever with no cold or vomiting is cause of any infection?
haemoglobin content is normal for my child?
Tue, 14 May 2013
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Pathologist and Microbiologist 's  Response
hi there, you havn't written the total WBC count but from the previous two reports it appears that her counts were high but with antibiotics treatment they were decreasing i.e. from 26.1 it went down to 17.1 which is a good sign as it implies that the cause of increase was infective and she is responding to treatment.Her hemoglobin levels are low and her smear study suggests that she is having iron deficiency anemia which is probable in a child of 7 months who is just being weaned of or is totally on breast milk. Breast milk is not an adequate source of Iron and you will have to add solids to her diet which are rich in Iron. The commercially availabe baby foods are well fortified with all the vitamins and minerals and it would be good for her. Mild lymphocytosis in a 7 monts old baby is not alarming and can be ingnored for the time being. If the child is active and playful, taking her feeds and not crying excessively you need not worry and let her be. If alls well then repeat the blood test after 15 days to follow up. Take care.
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7 Month Daughter. Blood Tests Done. Suggestions?

hi there, you havn t written the total WBC count but from the previous two reports it appears that her counts were high but with antibiotics treatment they were decreasing i.e. from 26.1 it went down to 17.1 which is a good sign as it implies that the cause of increase was infective and she is responding to treatment.Her hemoglobin levels are low and her smear study suggests that she is having iron deficiency anemia which is probable in a child of 7 months who is just being weaned of or is totally on breast milk. Breast milk is not an adequate source of Iron and you will have to add solids to her diet which are rich in Iron. The commercially availabe baby foods are well fortified with all the vitamins and minerals and it would be good for her. Mild lymphocytosis in a 7 monts old baby is not alarming and can be ingnored for the time being. If the child is active and playful, taking her feeds and not crying excessively you need not worry and let her be. If alls well then repeat the blood test after 15 days to follow up. Take care.