How can hyponatremia and leukocytosis be treated?
Patient: hi, my dad has been getting really bad fevers 102-103 degrees that last a couple days where he feels freezing cold and he is sweating. He went to the doctor last month and got bloodwork and they gave him a diagnosis of leukocytosis and hyponatremia and told him to get another blood test, well he felt fine for a month so he didn t get it done, and now all the symptoms are back. What could cause this? Does he have an infection? He has type 2 diabetes and hypertension and he drinks alcohol most evenings. He also hit his head pretty bad about 2 months ago and knocked himself out cold. I appreciate your help. Doctor: Hi, I had gone through your question and understand your concerns.It is likely that he is having an infection as he is diabetic also and diabetics can have occult infections specially urinary tract infections.if i were his treating physician , i would like to take complete history and do complete physical examination to look for any infectious cause and would like to do urine r/e, urine c/s , blood c/s ,MP smear and CXR. As he is having high grade fever ,sweating, leukocytosis and hyponatremia all these in old age patient can be due to Legionella pneumonia and would also like to work up for that.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.