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

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Posted on Fri, 7 Dec 2018
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.
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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
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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
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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.

Hope this answers your query.

Regards,

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

Oncologist

Practicing since :2005

Answered : 1546 Questions

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

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