What Does This Following Blood Report Indicate?

Posted on Sun, 16 Oct 2016

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

Sun, 16 Oct 2016 Answered on

Tue, 8 Nov 2016 Last reviewed on

Question : Dear Doctor,
My child was suffering from fever last Thursday 13th October and 14th October, after taking paracetamol syup, now he is feeling good. We went to visit doctor he ask for some blood test & urine test refer attached report.
he is eight month old. could you please let us know what are the reason of low hemoglobin and RBC and other reading in report.
Investigation                              result                 Reference range
COMPLETE BLOOD COUNT
White blood cell                         7.1               4.0-11.0 thou/micro I
Red blood cell                              2.4               4.5-6.0 mil/micro I
Hemoglobin                               7.2               11.5-15 g/dl
Hematocrit                              22.4               40-54 %
Mean corpuscular vol                         94.1               80-96 fl
Mean corpuscular HGB                    30               36-34 pg
Mean corpuscular HB con                    32.1               31.-37g/dl
Platelets                               320               150-400 thou/micro I
WBC differential count
Neutrophils                              38               50-70%
Lymphocytes                              60               20-40%
Eosinophils                               02               0-5 %
Monocytes                              0               0-10%
DLC performed on                          EDTA               EDTA
Serology
TYPHE DOT
IgM antibody for Salmonella typhi Negative
IgG antibody for salmonella Typhi           Negative

Investigation                              result                 Reference range
Urine Examination
Color                                   Pale yellow
Appearance                              CLEAR
PH                                   ACIDIC          4.7-7.5
SPECIFIC GRAVITY                          Q.N.S               1.003.1.005
CHEMICAL EXAMINATION
GLUCOSE                              ABSENT
PROTEIN                              ABSENT
MICROSCOPIC EXAMINATION
WBC                                    2-4               0-5 /hpf
EPITHELIAL CELL                         NOT SEEN
RED BLOOD CELL                         NOT SEEN
BACTERIA                              NOT SEEN
CAST                                    NOT SEEN
CRYSTAL                               NOT SEEN

Answered by Dr. Sumanth Amperayani (1 hour later)

Brief Answer:
This looks like viral illness and iron deficiency anaemia

Detailed Answer:
Hi... this looks like viral illness with iron deficiency anaemia. Low hemoglobin is because of iron deficiency which is probably nutritional in origin. I will suggest you how viral illness behaves so that you can be more confident about the viral fever. After this viral fever settles it is better to start the child on Iron supplements which also I will suggest.

Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.
Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.

If you can get back to me with the exact weight of the child, I will suggest you the appropriate dose and formulation of iron supplements.

The urine routine report is also normal.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar