← Return to Mayo Clinic Q and A: Understanding neutropenia

Newsfeed Post
Comment receiving replies
@dsm

I have history of neutropenia. Back in 2001 my white blood cell count dipped to high 900 with absolute neutrophil count over 500. Battled pulmonary infection for over 3 weeks no response to antibiotics till one physician treated me course of prednisone.

A second bout 2016 with absolute neutrophil count around 800. Over the years have had 3 bone marrow biopsies, first one a dry tap then two more, after second biopsy showed hypocellular sample and last one during 2016 with monocyte count higher than normal. All other tests normal except Anti-neutrophil cytoplasmic antibody that came back positive. My cell count remained stable with low normal neutrophil count when my hematologist suggested no longer follow up necessary. Several weeks ago following dog bite infection and 5 days course of Augmentin stopped treatment due to significant diarrhea and past history of C. Diff colitis. Repeat CBC showed absolute neutrophil count of 200. Visited a hematologist where I was seen last 2017 with the original specialist no longer there. He told me there is no need for me to repeat my cell count or be seen there again. I have been having temperatures fluctuating from 95.7 to as high as 99.8 and fatigue. Being in my mid 60s if you were in my situation would get a second opinion. Bring on an HMO plan, will have to pay on my own. Any reputable hematologist who offer second opinion via telemedicine.
Appreciate your input.

Jump to this post


Replies to "I have history of neutropenia. Back in 2001 my white blood cell count dipped to high..."

@dsm, you asked about virtual appointments at Mayo Clinic. Mayo Clinic welcomes both new and existing patients for virtual and in-person care in adherence with federal and state executive orders and guidance. Video and phone visits can be great options for appointments before, after or in place of face-to-face care. Appointment coordinators will recommend a virtual visit if it best fits your individual needs. Here is more information and how to get started with submitting an appointment request: http://mayocl.in/1mtmR63

dsm (@dsm) Did you ever get a second opinion? Please let us know if you have any updates.