High Hb low neutrophils high Eosinophils

[Tyree]

My 5 year old has been lethargic and without appetite for a week now. Her results came back abnormal with high Hb mild neutropenia and moderate eosinophilia. Her hct and RCC are bordering on elevated (both within normal range by .01 point) WCC is jut within lower normal limit (by .2), iron is low, in fact almost all of hr levels are just within the lower or higher range (by 1 or 2 points). I'm rather concerned, as she has no outward signs of viral or bacterial infection. Any help greatly appreciated.

[John Kenyon, CNA]

Hello -

The labs are, as you point out, all just slightly off, coinciding with a week's worth of lassitude and poor appetite. This would suggest, so far, a probable passing virus. If the symptoms continue more than a few days beyond a week, let the doctor know, and repeat labs may be ordered, which, if anything serious is going on, would by then be farther off. However, so far, everything seems consistent with a nonspecific viral infection, and these can drag on for more than a week, including low energy and loss of interest in food.

Please follow up with us as needed. Hopefully this will resolve on its own, with adequate rest and proper nutrition (despite the loss of appetite). Please let us know how things go.