Hi doctor, My brother was admitted to the hospital after he was diagnosed with dengue. However, there was concurrent evidence of severe leucocytosis (WBC >45,000 and neutrophils >70 %) and also few myelocytes and metamyelocytes. The USG of the abdomen area also revealed moderate hepatosplenomegaly. He also had an increased uric acid, SGPT, and LDH level. In the course of time, the leucocyte count was persistently high (>30,000) but with a gradually decreasing trend. The fever gradually subsided. Urine and blood C/S were negative. Yesterday's hematology report was: WBC count: 34,500. Differential Count: Neutrophil: 79 %, lymphocyte: 19 %, monocyte: 01 %, eosinophil: 01 %, basophil: 00 % and peripheral smear: neutrophilic leucocytosis, and few atypical lymphocytes present.
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