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Fever. Given antipyretic. Sore throat. Monocytosis?

A man of 56 years old recently develop fever three days back on and off uptill now firstly antipyretic were given but it give relieve for some time his CBC was conducted which shows monocytosis of 15 % and mild lymphopenia and platelets count 1,36 000 which is mild low! He is also having sore throat ! I m bit concerned about his monocytosis? And rest of CBC report is in normal range! Kindly guide me regarding monocytosis which we came to know randomly on CBC report! No other test done
Asked On : Fri, 11 Oct 2013
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General & Family Physician 's  Response
Sep 2013
Hello,
Thanks for the query to H.C.M. Forum.
Monocytosis i.e. elevated level of monocyte found in many disease but in your case may be due to ,
1 Early stage of leukemias as there is lymphopenia , low platelets and fever .
For this you have to wait for next 5-7 days and regular blood examination during this period is necessary.
2 Tuberculosis is another reason of monocytosis . Diagnosis can be confirmed by E S R ( if more then 40 mm ) and physical and clinical history of patient with family history.
3 Subacute bacterial endocarditis is the another reason , since this is a very early stage so you have to wait for next couple of days.
In my opinion it is too early to evaluate any diagnosis , so get in blood examination regularly for next 10 days.
As reason of monocytosis are so many as , brucellosis, sarcoidosis, regional enteritis.
Good luck. Dr. HET
Answered: Fri, 11 Oct 2013
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