Hello, Welcome to HCM,
From your blood report, it can be said that she is suffering from severe anemia. Folvite and iron supplement does not give relief. She needs urgent blood transfusion
. Consult with your treating doctor for this. About fever and lymphocytosis
, it can be said that there is viral fever
A thorough investigation should be done to diagnose this as dual deficiency. Because in that case, in peripheral blood should show presence of hyper-segmented neutrophil.
HPLC should be done to rule out any type of abnormal hemoglobin.
is indicated to rule out any sub-leukemic leukemia.
Consult with a hematologist
for further management.