Q. Why are WBC and neutrophils chronically high even if no infection is present?

Answered by
Dr. Smrita Singh
and medically reviewed by iCliniq medical review team.
Published on Jan 25, 2018

Hello doctor,

Chronically high WBC 15 and neutrophils above 10 recent CRP 8.8. No infection can be found but was treated with two rounds of antibiotics Amoxicillin and Clarithromycin. Repeated CBC and numbers were higher. My doctor said maybe this was going to be my normal. Is this possible? Since the last six months, I have also been experiencing abdominal pain, moderate nausea, and unintended weight loss.

Dr. Smrita Singh

Hematology Pathology
#

Hello,

Welcome to icliniq.com.

Your elevated WBC count and increased percentage of neutrophils are suggestive of an acute bacterial infection or some other acute inflammatory process. Your history of abdominal pain, nausea, and unintended weight loss needs to be investigated.

Since infection has been ruled out and you have also been treated with antibiotics, I would suggest that you get inflammatory conditions ruled out.

In noninfectious conditions, such as burns, a postoperative state, acute asthma, myocardial infarction, acute attacks of gout, acute glomerulonephritis, rheumatic fever, collagen-vascular diseases, hypersensitivity reactions, and even cigarette smoking, neutrophilia can occur. Thank you.

For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist

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