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Is he able to keep liquids down now?
Waiting for your response.
The WBC of 22,000 is very concerning ...
He should be undergoing evaluation at the hospital is WBC is that high ...
Do you know if he has high neutrophils ( that would be more consistent with a bacterial infection )
This could be such as appendicitis or pneumonia as possible causes
He should be at hospital undergoing evaluation for such a high WBC though ....yes many causes would be in need of IV antibiotics ...
He should have physical exam ...based on exam may need added tests >>> depending on direction of his symptoms and clinical picture and exam he may warrant such tests as chest xray / abdominal CT / blood smear ....
When did he first get sick ?
How much fever has he had?
Is he home now? At ER ? Other ??
If abdominal pain and vomiting and rising fever then an intra-abdominal infection could be a concern ....
If rapid pulse / rapid breathing / cough then pneumonia could be a possible concern ...
The bot***** *****ne is that the WBC is very serious and he should be at hospital now being checked further with that high if WBC .....
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Anthony Bray MD