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Child With High Level Of Red Blood Cell And Lymphocytes. Had Shoulder Surgery. Anything Serious?

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Posted on Thu, 22 Aug 2013
Question: My son is 18 - his red blood cell and lymphocytes came back slightly high 5.45 and 41.4. He had Mono maybe 2 months ago, is an athlete and had shoulder surgery 4 months ago. Any cause for concern?
doctor
Answered by Dr. Jorge Brenes-Salazar (26 minutes later)
Dear patient,

The values are just slightly elevated, and indeed they may bear correlation with the infectious mononucleosis; this is supported by the fact that the type of white cells increased are lymphocytes, the ones that are increased with the Epstein Barr virus, caustive agent of mono. Probably just a follow up lab in several months might be indicated but otherwise, continue to be active. Care however, has to be taken with contact sports for the first 8 weeks given that the spleen can enlarge with mono and you want to avoid abdominal injuries.

Truly yours,

Dr Brenes-Salazar MD
Mayo Clinic MN
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Jorge Brenes-Salazar (1 minute later)
thanks
doctor
Answered by Dr. Jorge Brenes-Salazar (2 minutes later)
Most welcome, wish you both the best
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Jorge Brenes-Salazar

Cardiologist

Practicing since :2007

Answered : 1198 Questions

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Child With High Level Of Red Blood Cell And Lymphocytes. Had Shoulder Surgery. Anything Serious?

Dear patient,

The values are just slightly elevated, and indeed they may bear correlation with the infectious mononucleosis; this is supported by the fact that the type of white cells increased are lymphocytes, the ones that are increased with the Epstein Barr virus, caustive agent of mono. Probably just a follow up lab in several months might be indicated but otherwise, continue to be active. Care however, has to be taken with contact sports for the first 8 weeks given that the spleen can enlarge with mono and you want to avoid abdominal injuries.

Truly yours,

Dr Brenes-Salazar MD
Mayo Clinic MN