Thank you for the information.
There are several causes for the high wbc & neutrophil count.
The common ones are infections or inflammation..
These can be in the form of abscess, on infection in an organ.
Among the non infectious causes these can be hypersensitivity reactions, collagen diseases, infarction, acute gout, glomerulonephritis,
Other causes include neoplasm
, leukemia, though in leukemia counts are usually much higher.
Low monocyte count can be due to effect of medicine or it can also come from bone marrow issues.
Yes, you need to have an examination by a hematologist, if no apparent cause is there.
I hope this information helps.
I will be happy to assist, if you need any clarification.
Please feel free for any follow up query.