I Was Diagnosed With Neutrophilia In 2019. Rbc Morphology Was

Posted on Thu, 23 Jun 2022

Question: I was diagnosed with neutrophilia in 2019. Rbc morphology was normal and my estimate platelets was normal but had slight vacuoles. What could that mean? And I’m still having the same symptoms as well. But have had high neutrophils and low lymphocytes between 2020-2021. But now my labs are good. What could this be?

Answered by Dr. Shailja Puri (9 hours later)

Brief Answer:
Increased number of neutrophils is due to bacterial infection

Detailed Answer:
Hello,
Thanks for posting your query on Ask A Doctor forum.
Neutrophilia is increased number of neutrophils.
Neutrophilia occurs due to bacterial infection most commonly.
Presence of vacuoles in neutrophils is also indicative of bacterial infection.
The neutrophils come back to normal number once infection clears.
Since, the complete blood count is within normal range now, there is nothing to worry.

Thanks and take care
Dr Shailja Puri

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Shailja Puri (5 hours later)

But I’m still having the same symptoms as was before

Answered by Dr. Shailja Puri (12 hours later)

Brief Answer:
Kindly, mention the symptoms that you are experiencing.

Detailed Answer:
Hello and welcome to AAD,
Kindly, mention the symptoms that you are experiencing.
The symptoms are not mentioned in your primary query.

Thanks and take care
Dr Shailja Puri

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Shailja Puri (27 hours later)

Lightheadedness, dizziness, extremely tired, weakness, nausea, feeling extremely ill

Answered by Dr. Shailja Puri (27 hours later)

Brief Answer:
Low Hb can lead to these symptoms, however, RBC morphology is normal.

Detailed Answer:
Hello and welcome again,
Symptoms of light headedness, tiredness, weakness can be due to anemia or low hemoglobin levels.
The report that you have posted mentions only red blood cell morphology as normal, however, hemoglobin levels are not mentioned.
Kindly, mention the hemoglobin levels.
In case hemoglobin level is within range then general physical examination needs to be done to look for cause of these symptoms.

Thanks and take care
Dr Shailja Puri

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Shailja Puri (4 days later)

I recently had a blood peripheral blood smear done and it was normal so do I have to worry about vacuoles in my blood? And my labs not showing any infections

Follow up: Dr. Shailja Puri (4 minutes later)

Are you a hematologist?

Answered by Dr. Shailja Puri (8 hours later)

Brief Answer:
Disappearance of neutrophilic vacuoles indicates clearance of infection.

Detailed Answer:
Hello and welcome again,
Absence of vacuoles in neutrophils and a normal blood count report show that the infection has cleared away.
I am a practicing Pathologist and hematologist is a branch of Pathology.

Thanks and take care
Dr Shailja Puri

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Shailja Puri (3 hours later)

Okay so I don’t have to worry about sepsis? Or vacuoles in my blood?

Answered by Dr. Shailja Puri (2 hours later)

Brief Answer:
There is no evidence of sepsis

Detailed Answer:
Hello and welcome again,
No there is no evidence of sepsis now when neutrophil count has come back to normal and vacuoles have disappeared.

Thanks and take care
Dr Shailja Puri

Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Nagamani Ng