Patient's question:
6 months health check showed normal blood routine, but 7 months later after a high fever, a detailed examination revealed low white blood cells and granulocytes. They later continued to rise, with the lowest white blood cell count reaching 1.27, absolute neutrophil count at 0.03, and platelets were normal. During this period, the child was hospitalized for treatment, taking Li Xue Sheng Yang Xue Yin, and receiving injections of Reba and Huier Blood, both of which were ineffective. After the Huier Blood injection, there was a reaction, with mild fever and a rash on the face. The child is now 10 months old and is taking traditional Chinese medicine. On October 8th, a blood routine examination showed a white blood cell count of 3.79, neutrophil count of 0.77, neutrophil percentage of 20.4%, and platelet count of 282. What is the actual disease? Is there any medication that can treat it? Why can't the granulocytes rise? Thank you all for helping my child.Doctor's answer:
White blood cells are the patrol soldiers of the human body that protect against bacterial invasion. When bacteria or other foreign substances invade, white blood cells enter the affected area, surround the bacteria, absorb them, and eliminate them. This is why white blood cells are called the "white guardians" of the human body. It is evident that an increase in white blood cell count weakens the body's antibacterial ability and makes it more susceptible to infections. However, a decrease in white blood cells does not necessarily require treatment. First, the extent of the increase must be considered; second, the cause of the increase must be examined. The normal white blood cell count is (4~10) × 10^9/L, which is commonly said to be 4,000 to 10,000 per cubic millimeter, with an average of 7,000. If the count is between 4,000 and 7,000, it is considered slightly low and does not require treatment.