What Is The Prognosis For Viral Illness In A Child According To His Test Reports?

Posted on Mon, 16 Jul 2018

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

Mon, 16 Jul 2018 Answered on

Fri, 15 Jul 2022 Last reviewed on

Question : My Two year old son has been sick recently. we had blood work done, and these are the results.

Biochemoistry of blood

Glycohemoglobin:          Result: 5.20 %           Range: 4.50 – 5.90%
Total protein               Result: 70.60 g/L , Range:     57.00-82.00
bilirubin total                Result: 6.00 μmol/L      Range: 5.00-21.00
bilirubin Direct          Result:2.00 μmol/L      Range:0.00-5.10
alanine - aminotransferase     Result:13.00 ed./L      10.00-40.00
Aspartate aminotransferase          Result: 36.00 * ed./L      0.00-34.00
Alkaline Phosphatase                Result: 195.00 ed./L      156.00 -369.00
amylase Pancreatic                Result: 17.00 ed./L      13.00-53.00
Cholesterol Total                Result: 2.72 * mmol/L      2.90-5.40
Number of leukocytes                Result: 6.68 10 * 9/Liter 5.4-13.8
Number of red blood cells           Result: 4.18 10 ^ 12/Liter 3.8-5.15
Hemoglobin                     Result: 112.00 G/L      112-146
Hematocrit                     Result: 33.50%      32.5-41.5
Average volume of red blood cells      Result: 79.90 FL      76-89
Average content of HGB in 1 red blood      Result: 26.70 pg      25-31
The average concentration of HGB in 1      Result: 334.00 g/L      310-360
Erythrocyte
The width of the red blood cell distribution 12.60%      11.5-14.7
Volume
Platelet Count                     327.00 10 ^ 9/Liter 200-450
Average volume of platelets           8.40 fl           8-12
Trombokrit                     0.28%           0.1-0.5
Width of distribution of platelets by
Volume                     42.20%      25-65
WBC formula
myelocytes                     0%           0
metamyelocytes (Young)                0%           0
Rod nuclear cells                1%           0-5
Segmented                      55%           32-55
Eosinophils                     3%           0-5
Basophils                     0%           0-1
Lymphocytes                     29 *%           33-55
Monocytes                     12 *%           3-9
ESR
ESR Vestergrenu                2 mm/h      0-15

Answered by Dr. Sumanth Amperayani (1 hour later)

Brief Answer:
Looks like viral illness and reports are normal

Detailed Answer:

Hi,

By what you quote, looks like your kid is having or recovering from a viral illness.
The reports are normal.
Don't worry.

I will explain you how a viral illness behaves so that you can be more confident.
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.

Regards,
Dr. Sumanth Amperayani

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Sumanth Amperayani (19 minutes later)

Thank you for your reply.
With regards to the result for Aspartate Aminotransferase: 36.00 * ed./L Normal range: 0.00-34.00, this is also due to virus? I understand it's liver problems?

Answered by Dr. Sumanth Amperayani (6 minutes later)

Brief Answer:
It is common to be elevated in viral illness

Detailed Answer:

Hi,

It is common to be elevated in viral illness. Don't worry about it at all.

Regards

Above answer was peer-reviewed by : Dr. Prasad