My baby boy is 3.5 months old. When he was 38 days old, he got a fever. I went to the hospital and the doctor said any infant who has fever without any other symptoms may have meningitis and so lumbar puncture was performed. It was positive and the WBC was 570 (clear), monomorph 80% and polymorph 20%. Though the culture of CSF was negative, no bacteria found. He was put on Penicillin and Cefotaxime for two days, but the fever did not settle down. Then, Penicillin was replaced with Vancomycin and the fever finally went away. He was on Cefotaxime and Vancomycin for 14 days. Then, CBC and differential had been tested and the neutrophils were low. It read 0.6. The next day before my baby was discharged it read 0.7. The doctor said that as long as it kept raising there was nothing to worry about. A week later the same test was done and the neutrophils were 0.9. Two weeks later it read 0.6 and then 0.9 and 0.6 in an interval of every two weeks. It kept raising and decreasing, but overall it is still very low.
I have not noticed any viral infection other than sometimes he gets red eyelid and teary eyes, but it disappears within a few hours. He usually rubs his face, eyes, nose and ears, especially when he wants to sleep. When he was in the hospital, I found a soft lump on his head. We did an MRI and the doctor said it is just a hematoma. He was born by an emergency C-section. I visited a pediatrician today who encouraged me to meet a hematologist. What is the reason behind neutropenia? Also, he has high lymphocytes of 7.70, lymphocytosis. Could it be something serious? I have attached his final test reports. Can you see anything else? Please help us.
Welcome to icliniq.com.
Based on your query and attached reports (attachment removed to protect patient identity), my opinion is as follows:
Routine evaluation is not necessary. Repeat complete blood count after three months or if there is any infection.Treatment plan:
Continue the same.Preventive measures:
Near normal range and variations are normal.Regarding follow up:
For further information consult a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist
Thank you doctor,
Should I do any other test to make sure nothing serious? I searched on the internet and got terrified after reading leukemia, lupus, virus infection, hepatitis, herpes, etc. Do you think antibiotics through IV affected my baby's bone marrow? Is it fine to give regular vaccines for him?
Welcome back to icliniq.com.
For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist
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