Complete Blood Count

lymphocyte count 58 and Neutrophils count 31

Q: Bloodwork lymphocyte count 58 and Neutrophils count 31, How concerning is that?

With a range of 20-40 for Auto Lymph. How concerning is 58.6. Usually, run 41.3 to 48 then back to 41.RDW is good.

Auto Neu is slight low at 31.6

can be a serious disease?


You describe Low neutrophils, absolute count, with high relative count of lymphocyte, it is not of severe or serious conditions, it can be a result of one or more of these causes:

  1. Attenuated fatigue or cough
  2. Improved fever
  3. Maintained lung capacity
    4.Improved respiratory infection
    5.Improved overall organs

What Do high platelets and High Lymphocyte WBC count mean in the CBC test?

If the results show: high white blood cells count and high Platelets count, both are mildly elevated. The most common causes are Infection or inflammation.

In all ages of children and adults, the most common cause of an elevated platelet count and high white cell count is the infection somewhere in the body.

The type of white blood cell that elevated in these results is the lymphocyte cells.

Lymphocytes are kinds of white blood cells that circulate in the human blood and responsible for counter-attack invadors like viruses, bacteria, and toxins, thus lymohocytes are important memeber of human ummune system.

If your complete blood count test shows that your lymphocyte count is high, the test result might indicate an Infection (bacterial, viral, other).

Even the shown lymphocytes numbers are mildly elevated, it can be used as an early marker of cancer of the blood or lymphatic system.

However, An autoimmune disorder such as SLE, and MCTD may causing chronic inflammation and causes high white blood cells.

high white blood cells count and high Platelets count
a question image sent to the official Fb group

Possible infections that elevate PLT and Lymphocyte counts may include:

  1. viral infections, including measles, mumps, and mononucleosis.
  2. adenovirus.
  3. hepatitis.
  4. influenza.
  5. tuberculosis.
  6. toxoplasmosis.
  7. cytomegalovirus.
  8. brucellosis.

Blood tests that may be required after elevated WBC and platelets count

  1. MMR antibody screening test: it is a developed test to detect if there are antibodies against measles, mumps, and rubella viruses, hence its name MMR.
  2. EBV IgM, IgG tests: are two tests used for the detection of Epstein-Barr virus infection that causes Mononucleosis”the kissing disease”.
  3. adenovirus antibodies and antigen test: that used for investigation of infection by adenovirus.
  4. TB Zn test for investigation of tuberculosis.
  5. TORCH antibodies tests: that used to investigate infection by (Toxoplasma, Rubella, CMV virus, Herpes respectively)
  6. Sed Rate test: to follow-up the course of inflammation and the effect after treatment.
  7. CRP test: to detect acute phase inflammations, and may be used for distinguishing bacteria infection from other viral infections.

However, some viruses cause decreased lymphocyte count instead of elevation, the most common virus is COVID-19.

For proper medicine, you must revise a specialized doctor, follow for more answers.

snippet of RDW values from a CBC test report

Low RDW in CBC Blood Test Explained

Many blood count tests today write the RDW as a part of the CBC test results, as below picture:

screenshot of low RDW value from a CBC test report

This screenshot of a RDW value in a CBC report shows:

  1. RDW: is a shortcode of the medical term “Red-blood-cell Distribution Width”, RDW represents the degree of variation of the sizes of red blood cells inside human blood, the normal range of RDW is 11.5% up to 14.5%,

The thalassemia trait doesn’t elevate RDW and still be normal, that why the normal RDW doesn’t exclude anemia.

High RDW appears when you have anemia due to iron deficiency, medically (a type of microcytic hypochromic anemia).

  1. The “L” letter beside the RDW value: means “low” as usually represented in the medical reports, Low RDW than the reference limits is medically insignificant because of inaccurate blood cell automatic counting or due to sampling errors or other hidden unattended errors in the procedures, thus why many clinicians don’t rely on RDW values.
  1. The reference range for RDW readings (11.5 – 14.5): doesn’t mean it is normal when your RDW lye inside this range, rather the RDW values within the reference range mean either normal size variation without anemia or means anemia with single size RBCs (i.e. thalassemia).

Does low RDW a valid indicator in diagnosis of anemia?

Should you worry when RDW level is low?

When your RDW value is below the limits, you shouldn’t worry because any tiny error in the testing procedures can result in such a falsely low result and can’t indicate a disease or a medical issue, and it’s beneficial to know that Low RDW value doesn’t necessarily mean that red blood cells are all in the small size, but the normal RDW is a more significant indicator of single size RBCs.

Did you understand yet what does high RDW means?

All CBC Normal Levels Charts With Differential

The Normal Complete blood Count for Adults

Blood Normal Levels For an Adult Woman

Normal Blood Levels for an Adult Man

Complete blood Count Normal Levels for children, toddlers, teenagers

Children with anemia caused by very low levels of iron in their blood may also eat strange things such as ice, dirt, clay, and cornstarch. … Even a low level of anemia can affect your child’s energy, focus, and ability to learn. Chronic iron deficiency anemia can result in long term, permanent impairment of development.

CBC Levels for Teenagers of age 12, 13, 14, 15, 16, 17, 18 years old.

CBC Levels for teenagers of age, 12, 13, 14, 15, 16, 17, 18 Years old.

CBC for Kids of age 6, 7, 8, 9, 10, 11, 12 years old, male and female.

CBC levels for children of age 2, 3, 4, 5, 6 years old girl and boy.

CBC Normal Levels for boys and girls of age 1 year and 2 years old.

Kids under a year of age: Normal CBC Levels for kids of age 9, 10, 11, 12 months 

Normal CBC Levels for babies from ages 3 months, 4, 5, 6, 7, 8, and 9 months.

Complete Blood Count Levels for Neonates

CBC Normal Levels For a baby after a week of birth

Normal Levels of complete blood count for a baby after 1, 2, 3 days of birth

Complete Blood Count of a neonate baby at birth

CBC Test Report

Pregnancy Complete Blood Count Normal Levels

Women with anemia during the third trimester of pregnancy and who had hemoglobin levels 8.1-10 g/dl, 6.5-8 g/dl and <6.5g/dl were classified as having mild, moderate and severe anemia respectively (WHO/UNICEF/UNO.IDA, 1998).

CBC for Pregnant woman during first month, second month, and third month.

CBC during pregnancy, forth month, fifth month, sixth month.

CBC Normal levels after seven, eight months and during the last month.

Blood Iron Levels

Blood Iron isn’t the same as Blood Hemoglobin, to know the meaning and differences, and the benefits of testing for iron in blood, visit: Blood Iron Normal Levels

Iron storage test

Ferritin is not the same as iron, learn what does it mean and what it can do for anemia Visit: Elevated Ferritin levels

Types of Anemia

According to the National Institutes of Health’s National Heart, Lung, and Blood Institute, there are more than 400 types of anemia. In general, the causes of these types of anemia can be divided into three groups: Anemia caused by blood loss. Anemia caused by decreased or faulty red blood cell production. Visit: Types of Anemia


low RDW (below 10.2%) means that the red blood cells vary very little in size. One reason for a low RDW level is macrocytic anemia. Another cause of a low RDW level is microcytic anemia. In these two disorders the red blood cells do not vary much in size because they are either all small or all large. Visit: RDW Meaning in Medical Terms

Medical Definition of MCH

MCH: Abbreviation for mean cell hemoglobin, which is the average amount of hemoglobin in the average red cell. … (The hemoglobin value is the amount of hemoglobin in a volume of blood while the red cell count is the number of red blood cells in a volume of blood.) Visit: MCH meaning in CBC Test

Hematocrit (HCT) or Packed Cell Volume (PCV)

HCT/PCV is the percent of blood volume filled by erythrocytes and, thus, a measure of oxygen carrying capacity of the blood. … Spun HCT and Spun PCV are different names for the same thing (both are derived by the same method—determined by centrifugation of anticoagulated whole blood). Visit: HCT and PCV meaning in a blood test.

What is “RBC” in a Blood Test?

A short form for “Red blood cells” 

White Blood Cells Levels

How many white blood cells (WBCs) someone has varies, but the normal range is usually between 4,000 and 11,000 per microliter of blood. A blood test that shows aWBC count of less than 4,000 per microliter (some labs say less than 4,500) couldmean your body may not be able to fight infection the way it should. Visit: Normal WBC count levels