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Hi there,This is Dr Basu, experienced Internal Medicine Specialist.I am here to address your concerns and provide great service.
That suggests likely underlying infection --can be UTI, or sinus infection.
Another possibility can be blood cell malig***** *****ke leukemia or lymphoma --risk is low but still in differential.
Hence further evaluation is required.
Blood count also should be repeated to make sure the reading was correct.Best wishes,It was my pleasure to help you today.If I have answered all your questions, Please rate my response Excellent (click on the 5th star).Please bookmark my profile for fast, reliable and authentic answers!This is the link to my profile:http://www.justanswer.com/medical/expert-mysticdoc/