CBC

[labadie]

I had been feeling tired and had a chest infection in mid August. I went to the doctor and took a Z pack. I returned for blood work August 28th. The SMAC was normal and the CBC was normal execpt for the wbc and the Gran. The first test showed 2.9 WBC and 1.1 Gran. Repeated test 9/19. WBC rose to 3.2 and Gran to 1.2. Did blood smear 9/19/07 and plateelets were normal, Red cell normal but showed lueukopenia with nuetropenia. Doctor said to come back in four weeks and do cbc again. 10/20/07 wbc increased to 3.9 and Gran 1.5. Wants me to go to an onocolgist now.???What would he be looking for? Is this a stubborn infection like he suggested as a possiblity? Physcial exam was fine with no swelling of lympnodes.. Just fatigue and a little achy. btw, on 10/31/05 by wbc was 4.4 and neutrophlis count 1544 and all blood work was normal. Thanks..

[Caliber2005]

Hi,
Persistent Neutropenia suggest some persistent infection like Typhoid or early stages of many viral infections such as infectious hepatitis or defect in production of neutrophils in bone marrow. Evaluation by an oncologist would help to decide about the further course of action, by doing some bone marrow investigations. As your neutrophil count is increasing, I think there is really anything to worry.