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HomeAnswersHematologylow lymphocyteAre chills, shortness of breath, and low lymphocyte count symptoms of COVID-19?

My lymphocyte count is dropping for the last three months. Is this a sign of COVID-19?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At July 22, 2020
Reviewed AtDecember 21, 2023

Patient's Query

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.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Goswami Parth Rajendragiri
Dr. Goswami Parth Rajendragiri

Pathology

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