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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What is the cause of elevated ESR and abnormal differential WBC counts in the lab report during fever and cold?

Answered by
Dr.
Dr. Deepak Sundriyal

Oncologist

Practicing since :2005

Answered : 1443 Questions

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Posted on Fri, 7 Dec 2018 in Blood Disorders
Question: Hello Doctor! I’m a 26 year old female. I’m having high fever (102 F) and Cough for the past 2 days. I got my lab results. Am worried about the very high esr rate and abnormal differential wbc count. Please advise.
doctor
Answered by Dr. Deepak Sundriyal 19 minutes later
Brief Answer:

Hello!

Its due to infection.

Detailed Answer:

Hello!

I have gone through the details. First of all there is no need to worry.

Any bacterial infection in the body can give rise to elevated ESR and high WBC resulting in abnormal differential counts with high neuterophils.

You will require a detailed clinical assessment for the cause of infection and then antibiotics for a few days.

Your blood reports will return to normal at the end of fever and treatment of infection.

Hope I have answered your query. Feel free to ask further

Regards,

Dr. Deepak Sundriyal,
Oncologist


Above answer was peer-reviewed by : Dr. Yogesh D
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Follow up: Dr. Deepak Sundriyal 2 hours later
Thank you Doctor. On the first day of fever, I had a heart rate upto 125 beats per minute. Is it normal to have such high heart rate during fever?
doctor
Answered by Dr. Deepak Sundriyal 8 hours later
Brief Answer:

Yes it is normal.

Detailed Answer:

Hello!

Increased heart rate during fever is a protective mechanism of body and it is perfectly normal. For every degree rise on temperature, heart rate increases by 10.

Hope I have answered your query. Let me know if I can assist you further.

Regards,

Dr. Deepak Sundriyal,
Oncologist
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Deepak Sundriyal 38 hours later
Thank you Doctor. I'm taking antibiotics now. How long will it take for my wbc count to get back to normal??? And am having hypothyroid which is under control now. Could that also be the reason why my esr count is high??
doctor
Answered by Dr. Deepak Sundriyal 25 minutes later
Brief Answer:
Hello. A weeks time is required.

Detailed Answer:

Hi again!

At least 7 days will be required for blood counts to be normal. Hypothyroidism does not lead to high ESR.

Hope I have answered your query. Let me know if I can assist you further.

Regards,

Dr. Deepak Sundriyal
Oncologist
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Deepak Sundriyal 34 minutes later
But mine is auto immune thyroid problem doctor.
doctor
Answered by Dr. Deepak Sundriyal 4 hours later
Brief Answer:

Hello. Nothing to worry

Detailed Answer:

Hello again!

Even if it is autoimmune, ESR should not be high. No need to worry.

Regards,

Dr. Deepak Sundriyal
Oncologist
Above answer was peer-reviewed by : Dr. Nagamani Ng
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