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Daignosis
analyse_media
Here is the interpretation of the CBC report for Mr. Vaibhav Vishnu Raindpe, 25 years / Male from SIMS Laboratory (dated 12-08-2026):
CBC Report Summary
| Parameter | Result | Reference Range | Status |
|---|---|---|---|
| Haemoglobin | 16.1 g/dL | 13.5 - 17.5 | ✅ Normal |
| PCV | 47.6% | 41 - 53% | ✅ Normal |
| Total RBC Count | 5.52 million/cu.mm | 4.5 - 5.9 | ✅ Normal |
| MCV | 86.2 fL | 80 - 100 | ✅ Normal |
| MCH | 29.2 pg | 26 - 34 | ✅ Normal |
| MCHC | 33.8 g/dL | 31 - 37 | ✅ Normal |
| RDW (SD) | 38.7 fL* | 40 - 55 | ⚠️ Low |
| RDW (CV) | 12.1% | 11.5 - 13.1 | ✅ Normal |
| Total WBC Count | 4320 cells/cu.mm* | 4500 - 11000 | ⚠️ Mildly Low |
Differential Leucocyte Count
| Parameter | Result | Reference Range | Status |
|---|---|---|---|
| Neutrophil | 75% | 40 - 80% | ✅ Normal |
| Lymphocyte | 18%* | 20 - 40% | ⚠️ Low |
| Monocyte | 07% | 2 - 10% | ✅ Normal |
| Absolute Neutrophil Count | 3220 cells/cu.mm | 2500 - 7500 | ✅ Normal |
| Absolute Lymphocyte Count | 770 cells/cu.mm* | 1500 - 3500 | ⚠️ Low |
| Absolute Eosinophil Count | 0 cells/cu.mm* | 40 - 400 | ⚠️ Low |
| Absolute Monocyte Count | 310 cells/cu.mm | 200 - 800 | ✅ Normal |
| Absolute Basophil Count | 10 cells/cu.mm* | 20 - 100 | ⚠️ Low |
Key Findings & Interpretation
1. Mild Leukopenia (Low WBC - 4320 cells/cu.mm)
The total WBC is mildly below the lower limit of normal. This is a borderline finding.
2. Lymphopenia (Absolute Lymphocyte Count: 770 - significantly low)
This is the most notable abnormality. An absolute lymphocyte count of 770 (normal: 1500-3500) is significantly reduced. Common causes include:
- Viral infections (including influenza, COVID-19, HIV, dengue)
- Corticosteroid use
- Autoimmune conditions (e.g., SLE)
- Malnutrition / protein deficiency
- Bone marrow suppression
3. Absent Eosinophils (0 cells/cu.mm)
While mildly below the reference range, zero eosinophils can be seen in:
- Acute stress response
- Corticosteroid therapy
- Early acute infection/sepsis
4. RDW (SD) mildly low
Generally not clinically significant in isolation. Red cell size uniformity is within normal range by RDW-CV.
Summary Diagnosis Pattern
Mild Leukopenia with significant Lymphopenia - most consistent with a viral illness or immune-mediated cause. Red cell parameters are completely normal - no anaemia.
Recommended Next Steps
- Clinical correlation with symptoms (fever, fatigue, rash, etc.)
- Peripheral blood smear
- Viral markers: dengue NS1/IgM, COVID-19, CBC repeat in 1-2 weeks
- If lymphopenia persists: consider HIV testing, ANA/autoimmune workup
⚕️ This is an interpretation for informational purposes only. Please consult the treating physician (Dr. EMO) for clinical correlation and management.
It's dengu postive
This confirms the CBC findings perfectly. Here is the dengue-specific interpretation:
CBC in Context of Dengue Fever - Confirmed Positive
How This CBC Fits Classic Dengue
| Finding | This Patient | Dengue Explanation |
|---|---|---|
| WBC 4320 (low) | ✅ Leukopenia | Classic - virus suppresses bone marrow |
| Lymphocyte 18% (low) | ✅ Lymphopenia | Direct lymphocyte destruction by DENV |
| Absolute Lymphocyte 770 (very low) | ✅ Significant | Hallmark of acute dengue viremia |
| Eosinophils = 0 | ✅ Eosinopenia | Typical in acute febrile dengue phase |
| Platelets - not reported yet | ⚠️ Missing | Critical to monitor in dengue |
| Hb 16.1 / PCV 47.6 | Normal | No haemoconcentration yet |
Most Important Concern Right Now
⚠️ Platelet Count is NOT in this report
In dengue, thrombocytopenia (platelet count dropping below 100,000 or even 20,000) is the major danger. This report only shows a 6-part WBC differential - platelet count must be checked urgently if not already done.
Dengue Fever - Clinical Phases to Watch
Phase 1: Febrile (Days 1-3)
- High fever, leukopenia, lymphopenia (as seen here)
- Relatively stable otherwise
Phase 2: Critical Phase (Days 4-6) ⚠️
- Platelet count drops sharply
- Risk of dengue haemorrhagic fever (DHF)
- Watch for: bleeding gums, petechiae, severe abdominal pain, vomiting
- PCV may rise (haemoconcentration = plasma leakage)
Phase 3: Recovery (Days 7-10)
- WBC and platelet start recovering
- Lymphocyte count rises (often with atypical lymphocytes)
What Should Be Done Now
| Action | Priority |
|---|---|
| Platelet count (if not done - repeat daily) | 🔴 Urgent |
| PCV monitoring (rise = plasma leakage warning) | 🔴 Urgent |
| Adequate oral hydration (2-3 litres/day) | High |
| Paracetamol for fever only (NO ibuprofen/aspirin/diclofenac) | High |
| Watch for warning signs (bleeding, severe abdominal pain, persistent vomiting, restlessness) | High |
| Repeat CBC every 24-48 hours | Routine |
Red Flag Warning Signs - Go to Hospital Immediately
- Platelets < 20,000
- Any bleeding (nose, gums, skin, urine, stool)
- Severe abdominal pain
- Persistent vomiting
- Rapid breathing or difficulty breathing
- Cold/clammy skin, altered consciousness
⚕️ Please follow the treating physician's instructions closely. Dengue has no specific antiviral - management is supportive and monitoring is key.
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