What are the causes of neutrophilia (elevated neutrophil count)?

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Last updated: May 19, 2025 • View editorial policy

Differential Diagnosis for Elevated Neutrophils

Elevated neutrophils, also known as neutrophilia, can be caused by a variety of conditions. Here is a differential diagnosis organized into categories:

  • Single Most Likely Diagnosis + Bacterial infection: This is the most common cause of elevated neutrophils. Neutrophils are a type of white blood cell that plays a key role in fighting bacterial infections.
  • Other Likely Diagnoses + Acute stress reaction: Stress can cause an increase in neutrophils due to the release of stress hormones like cortisol and adrenaline. + Inflammation: Conditions like arthritis, gout, or other inflammatory diseases can cause an increase in neutrophils. + Trauma: Physical trauma can cause an increase in neutrophils as part of the body's response to injury. + Surgery: Recent surgery can also cause an increase in neutrophils due to the body's response to tissue damage.
  • Do Not Miss Diagnoses + Sepsis: A life-threatening condition that occurs when the body's response to an infection becomes uncontrolled and causes widespread inflammation. + Appendicitis: A surgical emergency that requires prompt treatment to prevent complications. + Pneumonia: A serious infection that can be life-threatening if not treated promptly. + Meningitis: A serious infection that can cause inflammation of the membranes surrounding the brain and spinal cord.
  • Rare Diagnoses + Myeloproliferative neoplasms: A group of rare blood disorders that can cause an increase in neutrophils. + Chronic neutrophilic leukemia: A rare type of leukemia that can cause an increase in neutrophils. + Primary granulocytic sarcoma: A rare type of cancer that can cause an increase in neutrophils. + Cyclic neutropenia: A rare genetic disorder that can cause periodic episodes of low neutrophil counts, followed by episodes of elevated neutrophil counts.

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.