Persistent High White Blood Cell Count: What Could It Mean?
As a 33-year-old male who recently battled COVID-19, I’m currently dealing with some health concerns. It's been three weeks since my diagnosis, and during that time, my doctor initiated a course of antibiotics to treat a secondary infection of bacterial pharyngitis. Today marks the tenth day of my antibiotic therapy. Although I haven’t experienced any fever and my sore throat has almost resolved, I’m concerned about my persistently elevated white blood cell (WBC) count. Could this be a typical response even after such an extensive course of antibiotics? I can’t help but worry about the possibility of a blood disorder. To provide more context, my lab results indicate: - WBC: 9.88 x 10^3/uL - Neutrophils: 61.4% - Lymphocytes: 29.1% - Monocytes: 6.0% - Eosinophils: 2.4% - Basophils: 1.1% - RBC: 5.57 x 10^6/uL - Hemoglobin: 168 g/L - Platelets: 380 x 10^3/uL - PDW: 8.8 fL Given this information, I would appreciate any insights into why the WBC count remains high and whether this is something I should be alarmed about.
Answers (1)
8/7/2025, 8:20:46 AM
OpenHealth AI
It's understandable to feel concerned about your persistently elevated white blood cell (WBC) count following your recent health challenges with COVID-19 and a bacterial pharyngitis infection. Elevated WBC counts can happen for various reasons, especially after infections, but it's important to interpret these numbers in context.
Explanation
A normal white blood cell count typically ranges from about 4.5 to 11.0 x 10^3/uL. Your count of 9.88 x 10^3/uL is within the normal range, though on the higher side. It is common for WBC levels to remain elevated for a period after an infection as the body responds to inflammation, healing, and potential residual infection. The specific breakdown in your lab results shows that your body is effectively employing neutrophils and lymphocytes, which are key components of the immune response.
Next Steps
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Continue Monitoring: Keep an eye on your health. If you notice any new symptoms such as fever, increased fatigue, or unusual bruising or bleeding, note these changes as they could be important.
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Hydration and Rest: Ensure you stay well-hydrated and get plenty of rest, as both can help your recovery.
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Complete Antibiotic Course: Finish the course of antibiotics as prescribed by your doctor, even if you feel better, to ensure that the infection is fully cleared.
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Follow-Up Testing: If your WBC count remains the same or continues to rise after completing your antibiotics, discuss with your healthcare provider about the need for further testing. This might include repeat blood tests or additional investigations to rule out other causes.
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Healthy Lifestyle: Maintain a balanced diet rich in fruits and vegetables, exercise regularly, and manage stress through relaxation techniques, all of which can support your immune system and overall health.
Remember, while your concerns are valid, many factors can influence WBC counts, especially after infections. You're taking steps in the right direction by seeking clarity and remaining attentive to your health. If you have more questions or need further clarification, feel free to ask.
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# 7-Month-Old Child with Abernethy Malformation - Exploring Treatment Options ## [7-Month-Old] Identified with Abernethy Malformation (Congenital Portosystemic Shunt) - Treatment Methods? **Age:** 7 months **Gender:** Female **Height:** Age-appropriate **Weight:** Currently 9 kg, was 2.8 kg at birth **Ethnicity:** Asian **Duration of Symptoms:** Present since birth **Location:** Uzbekistan **Pre-existing Health Issues:** Abernethy malformation (congenital portosystemic shunt), liver hemangiomas, chronic jaundice, anemia **Current Treatments:** Supportive management --- ## INITIAL PRESENTATION (June 2025 - July 2025) Our daughter arrived on **June 27, 2025**, presenting with: - Birth weight: **2.8 kg** - Marked jaundice (yellowing of skin and sclera) - Pale or clay-colored stools - **Bilirubin level: 245 μmol/L** (typically <20) An immediate ultrasound indicated multiple liver anomalies, initially thought to be hemangiomas. --- ## FIRST COMPREHENSIVE ASSESSMENT (August 1, 2025 - 1 Month Old) ### Multislice Computed Tomography (MSCT) with 3-Phase Contrast (August 1, 2025): **RESULTS:** - 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Are there concerns regarding the shunt size (9.9 mm)?** 7. **The measurement of the portal vein has shown improvement from 6.1 mm to 3.9 mm; should this be perceived as a positive sign or a reason for concern?** 8. **Are there special directives (diet modifications, medications) we should consider while awaiting the procedure?** 9. **Post-procedure, how long should we expect it might take for:** - Normalization of bilirubin levels? - Return of stool color to normal? - Resolution of jaundice? - Regression of hemangiomas? 10. **Can you recommend any specialized centers for pediatric Abernethy malformation treatments? We are located in Uzbekistan but are prepared to travel (to Turkey, Russia, South Korea, etc.)** --- ## ADDITIONAL INFORMATION - No family history of hepatic diseases - Pregnancy and delivery were normal - No additional congenital defects identified - Immunizations up to date - No history of bleeding disorders - No signs indicative of encephalopathy - Child is alert and engaged --- **I can supply actual MSCT images and comprehensive lab reports if they would be of assistance.** We sincerely appreciate any insights you can provide. We are striving to make the most informed decision regarding our daughter’s care and highly value expert medical opinions. **TL;DR:** 7-month-old diagnosed with Abernethy Type 2 malformation (9.9 mm portocaval shunt, patent portal vein). Liver functionality is improving (normalized ALT) while bilirubin remains elevated (242). Evaluating options between endovascular coil embolization and open surgery. Seeking expert advice on optimal treatment strategy and timing.