Why do I have a fever with chills and a high WBC count?

Question

Hi doctor,

I recently got a fever with chills and felt cold. I took Dolo 650, and the fever is gone, but I continue to feel chills in my legs and sometimes feel cold.

I went to the doctor. He asked me to get a CBC test and a routine urine test. In my CBC test, my WBC count is 11900; the rest are all normal. My urine test says six to eight HPF, and the pH of my urine is acidic. The doctor said it is a UTI. I am worried about the WBC 11900 count. Currently, I am taking Zifi CV 200.

Kindly advise.

Answer 1

Hello,

Welcome to icliniq.com.

I have read your query and can understand your concern.

Kindly let me know if you have any other symptoms, you have like burning micturition, abdominal pain, dyspnea, etc. Your total WBC count is not much raised; it is only slightly increased. In urine, six to eight pus cells are not significant. So, it can be a viral infection, and symptomatic management is done for that.

Kindly attach your reports to check them.

Please answer these questions and let me know if I can assist you further.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

I have seen your attached report (attachment removed to protect patient identity), and it does not show any alarming rise in total WBC count. Your total count is mildly elevated, and ESR (erythrocyte sedimentation rate) is raised. So, viral infection can be a possible diagnosis as per the history and report.

Your malaria report is negative, and it can be excluded. Just now, symptomatic management was done with lots of water and take Paracetamol 500 mg SOS as per requirement. You can also take prescribed vitamin C 500 mg BD (twice daily) for five days. Maintain hydration with lots of water. Green leafy vegetables and fruits should be taken more. Repeat CBC after three days if no improvement.

Consult your physician for examination.

I hope this answers your query.

Please let me know if I can assist you further.

Thank you.