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Blood test shows RBCs are normocytic hypochromic with anisocytosis. Have fever from head to neck, chest congestion. What could it be?

This is my mother s report. Kindly suggest what should we do: Hemoglobin: 6.1; Total Leucocyte Count: 4900 Neutrophil: 38%, Lymphocyte: 59%, Eosinophil: 1 percent, Monocyte: 2 percent. ESR (Wintrobe): 60mm, RBC Count: 249 Millions/cmm, Reticulocyte Count: 2 percent, Platelet Count: 177, MCV (Mean Corp Volume): 88.8 percent, Mean corp Hb: 24.5 pg, Mean Corp Hb Conc: 27.6, HCt (Hematocrit): 22.1 Report says: RBc s are predominantly normocytic hypochromic with mild anisocytosis . WBC s series show relative lymphocytosis. Platelets are normal in number and morphology, No atypical cell/hemoparasite seem She has mild fever from head to neck and chest congestion. Doctor has put her on folvite and iron for Haemoglobin and asked to do a repeat Haemogram after a month. Please advise what it could be.
Asked On : Mon, 12 Nov 2012
Answers:  1 Views:  1076
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General & Family Physician 's  Response
Sep 2012
Hello, Welcome to HCM,
From your blood report, it can be said that she is suffering from severe anemia. Folvite and iron supplement does not give relief. She needs urgent blood transfusion. Consult with your treating doctor for this. About fever and lymphocytosis, it can be said that there is viral fever.
A thorough investigation should be done to diagnose this as dual deficiency. Because in that case, in peripheral blood should show presence of hyper-segmented neutrophil.
HPLC should be done to rule out any type of abnormal hemoglobin.
Bone marrow is indicated to rule out any sub-leukemic leukemia.
Consult with a hematologist for further management.
Answered: Wed, 14 Nov 2012
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