I have a friend currently in the hospital with fevers, sweats, a high white cell count and anemia. He had all this 2 years ago. He had a bone biopsy then but nothing was found. The symptoms went away but came back in February 2013. He had a Cat Scan which showed what was thought to be a tumor in his right hip. When they went to biopsy the tumor they found that it was a hematoma and admitted him. They have done lab work, cultures and have been giving him 2 different IV antibiotics. At first his white cell count came down but today went back up. He also had anemia. He was transfused 3 weeks ago when his blood test showed anemia. The doctors say they don't know what is going on. They don't have a diagnosis for him and want to hand him back to his primary care physician. What would you recommend the next step would be? After 5 days of hospital treatment and tests he isn't any better.
How is your friend? What other diagnostic tests were done? A high white blood cell count may be associated with an increased production of white blood cells to fight an infection; a reaction to a drug that increases white blood cell production; a disease of bone marrow, or an immune system disorder that increases white blood cell production. If the wbc levels increase despite the antibiotics given, further evaluation and additional diagnostic tests may need to be done. A referral to a hematologist may also help. Take care and do keep us posted.
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