What causes rise in WBC levels?
Patient: For several months my WBC has steadily risen, from 13.0 to 18.4 , with neutrophils at 13.9 and my iron is at 41 and ferritin at 16  , also showing large platlets. Doctors have been dismissive until now I have been refered to a hematologist at a cancer center. Could it really be cancer?? What could some possibilities be?? Doctor: Hello and welcome to HCM,A rise in white blood cell count (WBCs) and associated rise in neutrophils is suggestive of infection especially bacterial infection.Thus, a clinical assessment to look for focus of infection is required.If infection is ruled out, then neoplastic conditions have to be looked for.However, neoplastic condition is associated with very high blood counts so possibility of neoplastic condition is low.Iron level of 41 and ferritin level of 16 is low and thus investigations have to be done to look for the cause of low iron and ferritin.Thus, consult your hematologist for further management.Thanks and take careDr Shailja P Wahal