Q. My lymphocyte count is dropping for the last three months. Is this a sign of COVID-19?
Hello doctor,
I am a 39-year-old male, non-smoker. My lymphocytes count is dropping during the last three months. It used to be stable during last year. Mysterious COVID-19 like symptoms stated by March chills, SOB, etc. Chest CT clear. CRP 0.5, ESR 2. But my neutrophil and lymph ratio is increasing. My GP is ignoring it. I feel fatigued and something not right. Some back pain is also there.
Hi,
Welcome to icliniq.com.
Following is my opinion on your asked question. In COVID-19 infection usually, CRP (C-reactive protein) is high which is an inflammatory marker. Your CRP normal. So COVID-19 is less likely.
Moreover, you had symptoms since March. COVID-19 usually does not last for such a long time duration. If you had COVID-19 then symptoms might have been worsened until now. Your detailed physical examination should be done for further workup.
SGPT (serum glutamic pyruvic transaminase), serum urea, creatinine estimation, ANA (antinuclear antibodies) investigation, a chest X-ray can be done primarily for fatigue and shortness of breath. If needed spirometry can be planned for shortness breath. If you have much anxiety then also such symptoms can occur.
Although lymphocyte count slight low, it does not seem to be COVID-19. However, if you come in contact with any positive patient then swab PCR testing for COVID-19 can be done. Repeat your CBC after few days and revert back with that repeat CBC.
I hope this helps.
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