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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sudden Increased WBC And Reduced Platelet Count?

Hi... My mom recently got admitted in a hospital because she had breathing trouble with high fever, cough. Later doctors discovered that she had fluid around lungs and a decreased platelet count. They are curing fluid around lungs by way of injection and now by medicines. Mean while platelets count in blood got reduced to 30,000 which should not be the case. So they gave her 6 units of blood in 3 days to make the platelets count to climb up. Platelets reached 80,000. She became normal after that and got discharged from hospital. But now after few days, the platelet count became 40,000 again and suddenly WBC count got increased to 43,000 . Normal range (4,300 to 10,000 i guess). what should do we do now? How to cure completely? She is 48 years of age.
Thu, 9 Jul 2015
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General & Family Physician 's  Response
Hello,
I had gone through your query and understand your concern.

WBC count increases whenever there is infection in the body. As it is evident from your question, your mother had pleural effusion which means collection of fluid around the lungs. There are many reasons for this. I suppose your doctor has sent that fluid for analysis which will help to know the reason behind such fluid accumulation. Once the infection is completly cleared WBC count will come back to normal.It takes time. You need not to do anything for this to happen.

Normal platelet count is 1.5 to 4 lakh/mcL. Our body will try to produce more platelets when the count is low. I have seen many cases with platelet count even below 40000 and recovering well without any blood transfusion. Low platelet count will cause bleeding disorders. Keep watching for any bleeding from nose, bleeding in the eye, giddiness. If your mother develops any of these better to take her to an ER.
A persistent low platelet count calls for further evaluation. I suggest you to take repeat platelet count. I hope that it will come normal.

Take care of your mother.

If you have any other queries, feel free to contact me.

Regards,
Dr. Prathap Kumar
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General & Family Physician Dr. Ajit Gautam Chhajed's  Response
Rising wbc count ,decreasing platelets , collection of fluid in that chest , weakness , breathlessness are all pointing towards two conditions
1. Malignant hematological disorder like leukemia
2. Leukemoid reaction secondary to severe infection.
To rule out these conditions you need to do following investigations.
1. Repeat haemogram
2. Peripereal blood smear examination.
3. Bone marrow aspiration study.
If possible consult haematologist.
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What Causes Sudden Increased WBC And Reduced Platelet Count?

Hello, I had gone through your query and understand your concern. WBC count increases whenever there is infection in the body. As it is evident from your question, your mother had pleural effusion which means collection of fluid around the lungs. There are many reasons for this. I suppose your doctor has sent that fluid for analysis which will help to know the reason behind such fluid accumulation. Once the infection is completly cleared WBC count will come back to normal.It takes time. You need not to do anything for this to happen. Normal platelet count is 1.5 to 4 lakh/mcL. Our body will try to produce more platelets when the count is low. I have seen many cases with platelet count even below 40000 and recovering well without any blood transfusion. Low platelet count will cause bleeding disorders. Keep watching for any bleeding from nose, bleeding in the eye, giddiness. If your mother develops any of these better to take her to an ER. A persistent low platelet count calls for further evaluation. I suggest you to take repeat platelet count. I hope that it will come normal. Take care of your mother. If you have any other queries, feel free to contact me. Regards, Dr. Prathap Kumar