Dr. Mubashir Razzaq Khan
Hematology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
For three months, my daughter experienced intermittent fevers. She becomes very sick and exhibits various other symptoms (lethargy, skin rashes, runny nose, nausea, and dry cough). I suspected low immune function, but she had a fever for 24 days straight. She has been fever-free for one week. Could you please interpret my daughter's blood report? Low CD3, CD4, CD16 + CD56, and CD19. We are planning to do a re-test after a month.
Hello,
Welcome to icliniq.com.
I understand your concern.
I have reviewed the reports (attachment removed to protect the patient's identity). The flowcytometric subsets are of different lymphocytes and are low. CD (cluster of differentiation) 3 and 4 are T (thymus) lymphocytes, CD (cluster of differentiation) 16 and 56 are NK (natural killer) cell lymphocytes, and CD19 are B Lymphocytes, which are low. This is an indication of immunodeficiency. This could be due to an infection (especially viral), nutritional deficiency, or stress. This usually recovers on its own or after the cause is treated. Your daughter's signs and symptoms, such as fever, flu, rash, nausea, cough, and lethargy, are symptoms of viral or bacterial infections. Tablet Erythromycin (Erythrocin Stearate) is already administered. If there are no signs and symptoms, particularly fever, I believe no further medication is required. Blood counts would return to normal after a few days to weeks.
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Hematology
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