Re...My White Blood Cell Count was goes to 75000. What does mean?

Question

I am a Sri Lankan. Before 5 years ago I was admitted in Gampaha General Hospital for sick by my self. No special appearance in outside. Seems as a normal person. But my WBC counts was 75000 in that moment. Doctors was exited. Thay said 81000 mean dead. They gave Hectazan Course for last. Before they did Ultrasound scan, Bone Marrow test, many blood tests and etc. But that situation was possible or what?

Blood report in 2002-05-27

W.B.C=75000

Neutrophils=06%

Lymphocytes=11%

Esinophils=81%

Monocytes=02%

Basophils=00%

Haemoglobin=16.50 g/dl

P.C.V=46.60%

R.B.C=5.57 M/Cu mm

M.C.V=84.00 Cu Micrones

M.C.H=29.60 ffg

M.C.H.C=35.40 g/dl

Platelet Count=142,000

Filarial Antibody Test in 2002-06-01

Weakly Positive

Blood report in 2002-06-22

W.B.C=8200

Neutrophils=61%

Lymphocytes=30%

Esinophils=08%

Monocytes=01%

Basophils=00%

Haemoglobin=13.70 g/dl

P.C.V=42.4%

R.B.C=5.02 M/Cu mm

M.C.V=84.50 Cu Micrones

M.C.H=27.30 ffg

M.C.H.C=32.2 g/dl

The Red Cells=Normocytic & Normochromic

Platelet Count=335

Answer 1

to much info ask a doc

Answer 2

oh dear do you want us all to die?

Answer 3

Ferri: Ferri's Clinical Advisor 2008, 1st ed.:

COMPLETE BLOOD COUNT (CBC)

White blood cells 3200-9800 mm3 (3.2-9.8 × 109/L [CF: 0.001; SMI: 0.1 × 109/L])

Red blood cells

Male: 4.3-5.9 × 106/mm3 (4.3-5.9 × 1012/L [CF: 0.001; SMI: 0.1 × 1012/L])

Female: 3.5-5 × 106/mm3 (3.5-5 × 1012/L [CF: 0.001; SMI: 0.1 × 1012/L])

Hemoglobin

Male: 13.6-17.7 g/dl (136-172 g/L [CF: 10; SMI: 1 g/L])

Female: 12-15 g/dl (120-150 g/L [CF: 10; SMI: 1 g/L])

Hematocrit

Male: 39% to 49% (0.39-0.49 [CF: 0.01; SMI: 0.01])

Female: 33% to 43% (0.33-0.43 [CF: 0.01; SMI: 0.01])

Mean corpuscular volume (MCV): 76-100 μm3 (76-100 fL [CF: 1; SMI: 1 fL])

Mean corpuscular hemoglobin (MCH): 27-33 pg (27-33 pg [CF: 1; SMI: 1 pg])

Mean corpuscular hemoglobin concentration (MCHC): 33-37 g/dl (330-370 g/L [CF: 10; SMI: 10 g/L])

Red blood cell distribution width index (RDW): 11.5% to 14.5% Platelet count: 130-400 × 103/mm3 (130-400 × 109/L [CF: 1; SMI: 5 × 109/L])

Differential:

2-6 stabs (bands, early mature neutrophils)

60-70 segs (mature neutrophils)

1-4 eosinophils

0-1 basophils

2-8 monocytes

25-40 lymphocytes

EOSINOPHIL COUNT

Normal range: 1%-4% eosinophils (0-440/mm3)

Elevated in:

HELMINTHIC PARASITES

Ascaris lumbricoides (invasive larval stage)

Hookworms (invasive larval stage)

Strongyloides stercoralis (initial infection and autoinfection)

Trichinosis

Filariasis

Echinococcus granulosus and E. multilocularis

Toxocara species

Animal hookworms

Angiostrongylus cantonensis and A. costaricensis

Schistosomiasis

Liver flukes

Fasciolopsis buski

Anisakiasis

Capillaria philippinensis

Paragonimus westermani

“Tropical eosinophilia” (unidentified microfilariae)

If Elevated From your Normal, Perhaps Demargination (Neutrophils) From Some Infection.  Perhaps a Parasite (as Above, the Elevated Eosinophils) that you got Over (Because it Dropped). I Not Absolutely Certain.

Additionally:

Diethylcarbamazine citrate, DEC

Hetrazan® Print

Classification:

Antiinfective Agents

    Anthelmintics

Comments:

Description: Diethylcarbamazine, DEC is an investigational drug used as an antihelmintic; it is unrelated to other antiparasitic drugs and is a synthesized organic compound. DEC is very specific for several parasites and is indicated for the treatment of selected filarial diseases, the drug is a mainstay of treatment for lymphatic filariasis and loiasis. DEC is available only through the Centers for Disease Control (CDC) under an investigational protocol. Contact Information: CDC Drug Service, National Center for Infectious Disease (404) 639—3670, 8 AM to 4:30 PM EST Monday through Friday; for after hour or holiday emergencies, call (404) 639—2888.

Contraindications/Precautions: Permission must be obtained from the CDC for use in pregnant women and breast-feeding mothers because safety has not been determined in these patients.

Drug Interactions: DEC has been used in multi-drug regimens for erradication of parasitic disease in endemic areas.

Activated charcoal: accelerates body clearance of DEC.

Adverse Reactions: Severe adverse reactions are rare. Single doses usually well tolerated. Vomiting, dizziness, headache and fever may occur in roughly 2%. Hand swelling or swelling in the legs usually occurs in < 0.6%. Severe Mazzoti-type (anaphylactoid) reactions have been associated with diethylcarbamazine use.

Dosage:

For the treatment of Bancroft's filariasis† (lymphatic filariasis†) caused by Wuchereria bancrofti†, Brugia malayi† or Brugia timori†; for the treatment of tropical pulmonary eosinophilia; or for the treatment of loiasis:

Oral dosage (tablets):

Adults and Children > 15 kg: 6 mg/kg PO as a single dose; dosage may be repeated for disease control on an annual basis in endemic areas. Contact the CDC for current dosage and availability information.

Answer 4

You have Hypereosinophilic  syndrome. Parasitic infections like filariasis is a possibility.