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What Does Decrease In WBC Count After Blood Transfusion Indicate?
Question: My 83 year old mother is diagnosed with CLL since 4 years. She underwent steroids and Immuno Therapy to contain WBC, RBC, Lymphocytes and other parameters which were out of range and blood transfusion for low Hemoglobin. Now everything improved but WBC fell to 1600 critically low level. tomorrow we have consultation with local Oncologist. Please advise its impact and how to ensure to improve WBC.
Brief Answer:
maybe because of treatment
Detailed Answer:
Hi
Thanks for your query.
Did she receive any chemo? Because that can cause fall in wbc. Otherwise, I would like to know for how long she is receiving rituximab and steroids.
One possibility is that though her wbc was high, it was mostly lymphocytes and neutrophil percentage was very low. Now the lymphocytes have died due to treatment, so she is left with the original very low neutrophils.
In that case, giving some injection lime gcsf can raise the neutrophil count. Low neutrophil for long time predisposes to infection.
Hope this helps.
Regards
maybe because of treatment
Detailed Answer:
Hi
Thanks for your query.
Did she receive any chemo? Because that can cause fall in wbc. Otherwise, I would like to know for how long she is receiving rituximab and steroids.
One possibility is that though her wbc was high, it was mostly lymphocytes and neutrophil percentage was very low. Now the lymphocytes have died due to treatment, so she is left with the original very low neutrophils.
In that case, giving some injection lime gcsf can raise the neutrophil count. Low neutrophil for long time predisposes to infection.
Hope this helps.
Regards
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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