How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 31330
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
Type Your Health Question Here...
Dr. Arun Phophalia is online now
A new question is answered every 9 seconds

Hello, I have a low wbc of 2.4, low neutrophil count of 35,

This answer was rated:

Hello, I have a low wbc of 2.4, low neutrophil count of 35, high lymphocytes of 55, absolute neutrophil count of 0.9, but my RBC and hgb and hct are normal. Plts are normal too! I have a history of EBV and HPV. Last year my counts were relatively the same yet fairly higher! Is this leukemia??
I am Dr. Arun and will be helping you today.

Did your doctor order peripheral blood smear and bone marrow aspiration?
Were you referred to any specialist?
What are your symptoms?
Customer: replied 3 years ago.
My dr suggested I get a repeat CBC in 2-4 weeks. Just yesterday I woke up with sore throat and sore lymph nodes by throat. I probably just freaking out because I work on a leukemia unit! I made an appointment with a hematologist. No other symptoms. I'm healthy...besides I have a very bad external yeast infection that I've had for 2 years. It can't go away even with all the anti fungal creams and pills.

This is quite unlikely to be leukemia. Bone marrow aspiration establishes the diagnosis of leukemia. Some blasts will be seen in the peripheral smear in patients with acute leukemias. CML is defined by its peripheral WBC count. Typically, leukocytosis is in excess of 100,000/ cubic mm. To diagnose CLL, a lymphocytosis of greater than 5000/ cubic mm must be present. So this is not likely to be leukemia.

Chronic yeast infection often require long-term or prophylactic oral azole therapy for control. So for that, the recommended regimen is fluconazole 150 mg every other day for 3 doses, followed by weekly fluconazole 150-200 mg for 6 months. This regimen abate the symptoms and prevents further recurrence in majority.


Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.


We have recently implemented a new rating and feedback system. Please be aware that you are rating my courtesy and service as a professional. If you have any questions whatsoever, or there is anything I can clarify for you, please temporarily bypass the rating system by clicking “Continue the Conversation” or "Reply."

Clicking either of the lowest two options reflects poorly on me so please reply to me if there is anything else I can do to help before choosing those options. I appreciate your patience while we work out the kinks. It's important to me that you are 100% satisfied with the service I have provided you. Thank you.
Customer: replied 3 years ago.
Thank you so much u are awesome. One last question and I shall leave you alone. Do you think this could be due to the chronic yeast infection, or due to the EBV or HPV?

You are very welcome.

EBV can be responsible. Virus many times do affect the bone marrow and WBC counts for significant duration. But this is self remitting and would resolve spontaneously.


It is privilege assisting you.

Dr. Arun Phophalia and 4 other Health Specialists are ready to help you