Suggest Treatment For High Fever And Headaches

Posted on Sun, 22 Jan 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 22 Jan 2017 Answered on

Tue, 14 Feb 2017 Last reviewed on

Question : I'm a female of 44 years . Right noaw suffering from high fever with running nose and head ache. went for blood test and teh PLOYMORPHS is 88% and esonophilis is 8% What does this mean

Answered by Dr. Prof. Kunal Saha (51 minutes later)

Brief Answer:
Further details needed.

Detailed Answer:
Thanks for asking on HealthcareMagic.

The rise in polymorphs may indicate a bacterial infection. I would need to know the total WBC count to confirm. The rise in eosinophil level indicates an allergic component. Please let me know if rashes are present.

I would wait for your inputs. Based on them I would guide you further.

Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Prof. Kunal Saha (1 hour later)

Dear Doctor
There was a mistake in earlier mail. Sorry, The proper values are as below.
1)Heamoglobin - 12.4 gm/dl
2) PCV -39.4%
3) T.RBC - 4.42 Millions / Cumm
4) WBC Count - 6000 cells / cumm
5) Polymorphs - 88%
6) Lymphocytes - 08%
7) Eosinophils - 01%
8) Monocytes - 03%
9) Basophils - 00%

PERIPHERAL SMEAR
10) RBC : Normocytic, normochromic
11) wbc : Neutrophilia
12) Platelets : Adequate with normal morphology.
13) P.Vivax - Negative
14) Falcifaram : Negative
15) Dengue NS! : Negative
Please advise.

Answered by Dr. Prof. Kunal Saha (21 minutes later)

Brief Answer:
Pathophysiology explained.

Detailed Answer:
Thanks for writing back. The WBC count is not raised. Therefore the relative neutrophilia (polymorphs) is possibly just reactionary. Possibly it is just a viral infection. Such infections usually have an allergic component and that is the likely cause for the rise in eosinophil count. Overall it is not a cause for concern. You should take some antiallergic like cetirizine once daily. Take paracetamol or acetaminophen to bring down the fever when needed. It may take 5-7 days for recovery to occur. Please be patient till then.

Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Prof. Kunal Saha (52 minutes later)

Dear Doctor
Thank You very much. I'm also concerned on Lymphocytes at 8%. Please adivse on this.
Regards

Answered by Dr. Prof. Kunal Saha (4 minutes later)

Brief Answer:
No need to worry.

Detailed Answer:
You need not be worried. It is not a cause for concern.

Regards

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Above answer was peer-reviewed by : Dr. Prasad