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Is low neutrophils and high lymphocytes signs of lukemia? - Online Doctor Chats

Date : 25-Mar-2014
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1548 Questions
User:Hello Dr.
Doctor:how can i help you?
User:This is regarding my son's CBP Report
User:He is 2 yrs 1 months old
User:and weighs very less at only 10.7 kg
User:He didn't gain much in last 2 months, and also we generally keep a track of his Haemoglobin, so did a CBP
User:Now here is the result
Doctor:please go ahead
User:Haemoglobin - 12.8
User:RBC 4.65 mill/mm3
User:PCV - 35.3 vol% (Ref: 4.1 ~ 5.5)
User:MCV: 75.9 fl (76-95)
User:MCH: 27.5 pg/cells (25-33)
User:MCHC: 36.6 g/dl (31-37)
User:platelet count: 2.84 l/mm3 (1.5-4.5)
User:WBC Count: 8900 cells/mm3
User:Bands: 0
User:Neutrophils: 50% (54-62) *** [Out of Range]
User:Lymphocytes: 45% (25-33) *** [Out of Range]
User:Monocytes: 3 (3-7)
User:Eosinophils: 2(1-3)
User:RDW: 12.3%
User:Now I am worried with the low Neutrophils & High Lymphocytes
User:I read some place that this may be the sign of leukomia, is that correct?
Doctor:No, that is not correct when the total count is well within normal limits
User:Also, when his last CBP was done in Jul, 2013, these were normal (62 & 33 for N&L )
Doctor:and the neutrophils and lymphocyte percentages are not very much out of range
User:Also, the WBC was 12500in Jul which came down now
Doctor:moreover, these changes are quite common even in mild infections
User:ok, so he has mild infection
Doctor:12500 for a 2 year old would be normal
User:it was 12.5, now its 8.9K
Doctor:he might have had some cold, or some other mild infection
Doctor:WBC counts are fine
User:he does not has cold, we did the CBP just yesterday
Doctor:don't worry about it
User:any medication we should follow for the infection?
Doctor:It need not be cold, it can be any mild infection, without any symptoms
Doctor:You don't need to do anything right now
User:so, it would get normal automatically?
Doctor:it will
Doctor:I would not consider this report as abnormal
User:is there any need to do a followup CBP again after some time?
Doctor:You don't need to keep repeating the test without reason
Doctor:is there anything else I can help you with?
User:But doctor, the baby is so underweight, he is little fussy while eating, but he eats sufficiently
User:Not sure how to enhance his weight
Doctor:Underweight is a different issue
Doctor:You need to get him examined by a pediatrician to rule out any other problem
Doctor:CBC does not tell much about weight gain issues
Doctor:You should deworm him every six months
Doctor:and feed him nutritious foods
User:Any medicine for that?
User:means for deworm
Doctor:Yes, the medicine is Albendazole
Doctor:but, you will need a prescription for that
User:ok, thanks...
Doctor:anything else?
User:No, thanks
User:thanks a lot
Doctor:you are welcome
User:bye, gnight
Doctor:welcome back
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