abnormally shaped blood cells?

my daughter had two blood test done she has been in hospital due to having a cold and having low oxygen levels 80 81. her first blood test showed low amount of white blood cells and abnormally shaped cells. the next day they took more blood and it showed that the white blood cells had gone up but there were still some abnormal cells. what could this mean, grateful for any information

[Dr Sharma]

Hi there. A decreased percentage of white cells like neutrophils could have been due to widespread bacterial infection which may have improved as the infection cleared. The various abnormal white cells that is possible include toxic granulations in severe infection,dohle bodies in acute or systemic infections, auer bodies in leukemias, bands , hypersegmentation in B12 and folate deficiency etc. so depending on the clinical condition, you see various abnormalities in white cells andneed a clinical correlation. You may get a fresh count and smear after your daughter is free of the infection. Take care.