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What Do Presence Of Persistent Reactive Lymphocytes In A Child Indicate?

Posted on Fri, 18 Sep 2015

Question: My daughter just turned three and she has persistent reactive lymphocytes. She was tested for EBV this week but it came up negative. What other tests should be considered?

Answered by Dr. Noble Zachariah (37 minutes later)

Brief Answer:
Other common causes

Detailed Answer:
Hello,
Welcome and thanks for your query.
I presume that your daughter's lymphocyte count is in the normal range.
The commonest cause in children of her age are viral infections and pertussis. If your child had all the prescribed immunisations, then the chances of Pertussis, measles and rubella are low. She may have infection by other viruses Adenovirus, Coxsackie or Cytomegalovirus which can be tested for. It may also occur as a reaction to immunisations or certain medicines and due to less likely causes like hormonal or autoimmune causes.
If she does not have any other symptoms and she is thriving well, then there may not be a reason to worry.
Best wishes

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Noble Zachariah (7 minutes later)

Yes Doctor, her lymphocyte is within the normal range. I just want it to stay there which is why we're concerned. The first test, which brought this to our attention was over a year ago. Could an infection be that persistent?

Thank yo

Thank youu

Answered by Dr. Noble Zachariah (1 hour later)

Brief Answer:
Adenovirus can cause recurrent infections

Detailed Answer:
Was this result on an automated blood count or was it on a blood film reported by a haematologist? If a blood film reported by a haematologist is available, please upload it and if not done, please do the same. What was her ESR?
Was any blood test done in between 1 year and now? If so what was the result?
Adenovirus which causes upper respiratory and other common infection can be the cause and children at her age may have several episodes of cold or URTI.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Noble Zachariah (19 hours later)

Thank you. I will be able to upload the additional bloodwork tomorrow.

Answered by Dr. Noble Zachariah (9 hours later)

Brief Answer:
Welcome

Detailed Answer:
Thank you.
I look forward to seeing the results.
Best wishes

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Noble Zachariah (3 days later)

My apologies Dr. Noble. We are uploading the report now.

Answered by Dr. Noble Zachariah (12 hours later)

Brief Answer:
No problem

Detailed Answer:
It is okay . Did you upload the results? I do not see any.
Please contact customer care if you are not able to.

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Noble Zachariah (43 hours later)

Dr. Noble,

It's been unable to collect our daughters paperwork in a timely manner. I'd like to accept your answer and follow up with another question directly with you if possible.

Thank you

Answered by Dr. Noble Zachariah (5 hours later)

Brief Answer:
You are welcome, XXXXXXX and thank you

Detailed Answer:
Do get in contact with me when you get your daughter's results or if you have any query in the future.
You can ask me a query directly at
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68731

You can also find me if you google my name.

Wish your daughter and you good health and a good day!

Dr Noble Zachariah

Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar