Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Does Enlarged Spleen With Wbc Count 1.78 Suggest?

Recently my doctor tested me for Epstein Barr and I was reactive and levels of 8.1, .60 and 8.1, and my white cell count is 1.78 and my spleen is 100% oversize. What is up with me? Doctor wants to start me on combo shots of B-12 and Lysine (not sure if it is L or D), do you have any ideas?
Mon, 4 Aug 2014
Report Abuse
Infectious Diseases Specialist,  's  Response
Hello,
Welcome to HCM,

Enlarge spleen is called as splenomegaly and it is almost always secondary to other disorders. The most common causes are Myeloproliferative disorders,
Lymphoproliferative disorders,Storage diseases,Connective tissue disorders
and infectious diseases (eg, malaria, kala-azar).

If splenomegaly is massive the cause is usually CLL, non-Hodgkin lymphoma, CML, polycythemia vera, myelofibrosis and infectious mononucleosis.

There is no specific treatment for infectious mononucleosis. People with this disease will be as active as they want.

However, because of the risk of rupturing the spleen, heavy lifting and contact sports should be avoided for 1 month, even if the spleen is not noticeably enlarged. NSAIDs, such as ibuprofen can relieve fever and pain.

Some complications, such as severe swelling of the airways, may be treated with corticosteroids. Currently available antiviral drugs have little effect on the symptoms of infectious mononucleosis and should not be used.

Thank you.
I find this answer helpful
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Lysine


Loading Online Doctors....
What Does Enlarged Spleen With Wbc Count 1.78 Suggest?

Hello, Welcome to HCM, Enlarge spleen is called as splenomegaly and it is almost always secondary to other disorders. The most common causes are Myeloproliferative disorders, Lymphoproliferative disorders,Storage diseases,Connective tissue disorders and infectious diseases (eg, malaria, kala-azar). If splenomegaly is massive the cause is usually CLL, non-Hodgkin lymphoma, CML, polycythemia vera, myelofibrosis and infectious mononucleosis. There is no specific treatment for infectious mononucleosis. People with this disease will be as active as they want. However, because of the risk of rupturing the spleen, heavy lifting and contact sports should be avoided for 1 month, even if the spleen is not noticeably enlarged. NSAIDs, such as ibuprofen can relieve fever and pain. Some complications, such as severe swelling of the airways, may be treated with corticosteroids. Currently available antiviral drugs have little effect on the symptoms of infectious mononucleosis and should not be used. Thank you.