12 year old child who was diagnosed as a case of dengue on 5 th day of his illness CBC was performed count were as follows Hb, 6.2 RBC,3.4, Hct 22 TLC 2.3, Plat,70. After 36 hours his Hb unexpectedly rises from 6 to 13 Tlc from 2.3 to 4.0 and plat from 70 to 130. Rise of Hb is unexplainable please. Previos CBC was rechecked from 3 different analyzer and the result was found reproducible no change in any parameter
Normal total leukocyte count varies with the age of a person. It also has a diurnal cycle i.e. counts vary during a 24-hour day. Normally they range from 4000 to 10,000 per MCL in an adult. The counts may go up due to an increase in any component of the white cells i.e. neutrophils, lymphocytes, monocytes, eosinophils or basophils. This can be judged by a differential leukocyte count. The range of RBC, TLC were decreased due infection and intoxication, then increased, because all cells ran from store to focus of infection to struggle with infection.  Best regards Chat Doctor.