What could be causing my mother's high WBC count, abdominal pain, and fever in the hospital? - #30157
My mother (57/60 yrs female) is currently admitted in FH Medical College due to fever, weakness, dizziness, abdominal/flank/back pain and very high WBC count. Latest CBC shows TLC 50,950 with Neutrophils 82.9% and Absolute Neutrophil Count 42,240. Hemoglobin is 10.0, ESR 35 and platelets were previously around 9.7 lakh. Patient has intermittent fever around 100°F, stomach pain on touch, weakness and occasional breathing discomfort. Ultrasound whole abdomen showed Grade 1 fatty liver, multiple tiny right renal concretions and 3.1 mm left renal calculus without hydronephrosis. Urine routine shows pus cells 30–40/hpf, protein ++ and RBC 3–4/hpf. KFT is normal (Creatinine 0.66), LFT mostly normal and sugar levels increased during illness (235–300+ on glucometer). Doctors have started antibiotics and other supportive treatment, but they are also discussing possibility of leukemoid reaction vs leukemia because of very high TLC/neutrophils. PBS and CRP reports are awaited. Please guide what this picture most likely suggests according to these reports and symptoms.
How long has your mother been experiencing these symptoms?:
- Less than 1 weekHas she had any recent infections or illnesses prior to this hospitalization?:
- No, this is the first illnessHow would you describe the abdominal pain?:
- Sharp and severeHas she experienced any changes in her appetite or weight?:
- No changesHas she had any issues with urination, such as pain or frequency?:
- No, urination is normalHas she had any recent changes in her blood sugar levels?:
- Yes, slightly higherIs she currently taking any medications or treatments for other conditions?:
- No, not currentlyHas there been any family history of blood disorders or cancers?:
- No known history100% Anonymously
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Doctors' responses
Hello dear See as per clinical history it seems Severe infection with leukaemia reaction not leukaemia Differential diagnosis includes Sepsis Bone marrow dysorder Iam suggesting some tests for confirmation Please share the result with concerned physician only for better clarity and for safety please donot take any medication without consulting the concerned physician CBC Esr LDH Rft Urine analysis Lft PBS Bcr-abl test Hemogram Serum tsh Serum ferritin Hopefully you recover soon Regards
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