Q. The monocytes and ESR values in my wife's hemogram report are abnormal. Why?

Answered by Dr. Rahul Rathee and medically reviewed by iCliniq medical review team.


Do you have a question on Low Monocytes or Tuberculosis? We have medical experts to help you right away. Ask a Doctor Now »

Hello doctor,

Me and my wife got an annual blood test done. Few of my wife's results are off the radar. She is 30 years old, and she had a mild cough when the tests were done. She becomes tired very easily. In the attached hemogram report, her monocytes are 0 and ESR is 80. Rest of the tests including thyroid, liver function tests, ECG, and lipid profile seem to be normal. Is this a cause for concern?

Related Questions:
There was blood in the spit. What might be the reason?
Do I need to get a lung biopsy to confirm bronchiectasis?
Am I suffering from tuberculosis? Please clarify from my CT report.

Dr. Rahul Rathee
General Medicine, Internal Medicine


Welcome to icliniq.com.

I can understand your concern, but after a detailed evaluation of your wife's reports (attachment removed to protect patient identity), I would say there is nothing to worry.

  • Only monocytes levels are low, it does not mean much. It does not cause anything serious if the other counts are within the normal range, which is, in fact, your wife's case.
  • ESR (erythrocyte sedimentation rate) is a very non-specific test and is not of much significance. However, it is still done routinely to rule out tuberculosis along with some other tests.
  • I would advise you, obviously just as a precautionary measure and not as a matter of concern, is to get the following tests done to rule out tuberculosis:
  1. Sputum examination for AFB (acid-fast bacillus).
  2. CT scan of the chest.
  3. Mantoux test.

As soon as you get the reports, please send it to me for evaluation. Do not worry and take care.

Revert with more information to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician

Ask your health query to a doctor online?
Ask a Doctor Online »
* guaranteed answer within 4 hours.

Related Questions & Answers

There is a neck swelling and Mantoux test shows 15 mm raised surface. Is it TB?
Query: Hello doctor, My mother has gone for the Mantoux test and the report stated 15 mm raised surface. There is a swelling on the left side of the neck near the shoulder. Firstly we went to a homeopath because we thought that it is a stone. After 3 to 4 days it started paining after that we went to the ...  Read Full »
Dr. Parth R Goswami
Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hi, Welcome to icliniq.com. I have reviewed your query and here is my advise. The swelling could be due to infective enlarged lymph nodes, reactive node enlargement or tuberculosis. You cannot rely on the Mantoux test. It is not the test for tuberculosis. To confirm tuberculosis and to rule out th...  Read Full »
How to proceed with my chronic dry cough?
Query: Hi doctor, I am a 24 year old female. I am suffering from cough for almost a month and my abdomen is paining badly due to cough. The cough gets so severe and I end up vomiting, be it early morning or night. I consulted the doctor and was diagnosed with chronic cough. I followed the medicine and it o...  Read Full »
Dr. Abhishek Dixit

Answer: Hi, Welcome to icliniq.com. Chronic cough for more than three weeks needs evaluation. I would recommend to check CBC (complete blood count), ESR (erythrocyte sedimentation rate), Mantoux test, chest x-ray, ECG and serum creatinine levels. Chronic GERD - gastroesophageal acid reflux symptoms...  Read Full »
I have suffered with tuberculosis(Koch's disease)last year. Now I am getting the same disease back.
Query: Hi, I was suffering from tuberculosis (Koch's disease) a year back which got cured. And now I think, I am getting the same disease back. What should I do?  Read Full »
Dr. Rohit Jain
Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. I am not sure what makes you think you are getting the disease back. It needs a medical examination to prove if you are right in your fear.  But if that is the case, then it can be dangerous, as subsequent TB infections are mostly resistant to medicines and then it becom...  Read Full »

Ask your health query to a doctor online?
Ask a Doctor Online »
* guaranteed answer within 4 hours.

Ask a Doctor Online

* guaranteed answer within 4 hours

Most Viewed

Will ejaculating on the hands cause STD?
Hello doctor, I have a question about STD exposure risk. I masturbated another male with my hand, and my palm was moist ...Read more »
Is there always 1 to 2 percent chance of TB recurrence even after completion of medicine?
Hello doctor, I had pulmonary TB and undergone six months of continuous medication as suggested by the doctor. There wa ...Read more »
HIV - Common Questions Answered | AIDS | Stages of HIV | Symptoms | Treatment
Human Immunodeficiency Virus (HIV) is the virus that causes HIV infection and AIDS (Acquired Immunodeficiency Syndrome). ...Read more »