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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Fever, Headaches, Lupus, High WBC. Low Lymphocytes. What Is Wrong?

Yes, I recently had lab work done and over the last 2 months my WBC's were 12,000- 16,000. I noticed my Lymphocytes were low at 2%. I was in the ER last month with high fever and headache ( migraine).
I am worried about it and so was my doctor. I am taking Imuran for Lupus. I am on several meds and have a somewhat complex health history. How high does the WBC get before it becomes critical to find what is the cause?
Thu, 4 Jul 2013
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Neurologist 's  Response
Hi,

Thank you for posting your query.
High WBC count, in association with fever, could be suggestive of an underlying bacterial infection. The risk is high in you, as you are on immunosuppressive drugs for treating lupus (such as I urban, azathioprine).
When WBC count is more then 11000, with fever, we need to find out the underlying cause of infection, and treat with appropriate antibiotics.

I hope it helps.
Best wishes,
Dr Sudhir Kumar MD DM
Senior Consultant Neurologist
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Have Fever, Headaches, Lupus, High WBC. Low Lymphocytes. What Is Wrong?

Hi, Thank you for posting your query. High WBC count, in association with fever, could be suggestive of an underlying bacterial infection. The risk is high in you, as you are on immunosuppressive drugs for treating lupus (such as I urban, azathioprine). When WBC count is more then 11000, with fever, we need to find out the underlying cause of infection, and treat with appropriate antibiotics. I hope it helps. Best wishes, Dr Sudhir Kumar MD DM Senior Consultant Neurologist