there are many possibilities. when vacuoles are present in the white blood cells the body is identifying something in the bloodstream that it does not like. the white blood cells are commanded then to eat this thing that the body does not like. the white blood cells are then destroyed by the spleen. this being the ones that have vacuoles. when this happens an increase in the production of white blood cells happens in the bone marrow. the body is essentially at war with this unknown thing in the blood stream. it could be something as simple as fat droplets being vacuolated. or it could be something as insidious as your own red blood cells. Only your doctor can decipher the differences.
Hi there. Your elevated wbc along with neutrophils could be due acute infection, gout, rheumatoid arthritis thyroiditis, acute stress, trauma, myelocytic leukemia etc. vacuolated neutrophils may have associated with severe infection, chemical poisoning and other toxic states. Bands are immature neutrophils and an increase is called left ward shift due to acute infection.
High platelet counts could be due to reactive thrombocytosis, due to a bone marrow disorder or essential. Causes of reactive are infection, inflammatory disorders,like rheumatoid arthritis, blood loss, tissue damage from trauma or surgery, underactive or absent spleen like celiac disease or sickle cell disease.
Certain myeloproliferative disease, chronic myeloid leukemia, essential thrombocythemia there is increase in platelet producing cells or megakaryocytes in the bone marrow . hope this makes some sense to you. Take care.