What is the appropriate evaluation and management for an adult patient with leukocytosis, neutrophilia, and an elevated RDW%, without significant past medical history?

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Evaluation and Management of Leukocytosis with Neutrophilia and Elevated RDW

Initial Assessment

Your patient's laboratory findings (WBC 13.5, neutrophils 73.9%, RDW 14.5%) warrant systematic evaluation for bacterial infection, as this combination carries a likelihood ratio of 3.7 for underlying bacterial infection even without fever. 1, 2

The neutrophil percentage of 73.9% is moderately elevated and requires clinical correlation, though it does not reach the >90% threshold that carries the highest likelihood (7.5) of serious bacterial infection. 1

Critical Next Steps

Mandatory Laboratory Evaluation

  • Obtain a manual differential count immediately to assess for left shift (≥16% band neutrophils), which has a likelihood ratio of 4.7 for bacterial infection even with normal total WBC count. 1, 2, 3

  • Calculate the absolute band count - if ≥1,500 cells/mm³, this carries the highest likelihood ratio (14.5) for documented bacterial infection and is the most diagnostically powerful marker. 1, 2, 3

  • Do not rely on automated analyzer alone, as manual differential is essential to accurately assess band forms and immature neutrophils. 4, 3

Focused Clinical Examination

Systematically evaluate for infection sources:

  • Vital signs: Check for fever >38°C or hypothermia <36°C, hypotension <90 mmHg systolic, tachycardia, tachypnea. 2

  • Respiratory system: Assess for cough, dyspnea, chest pain, hypoxemia suggesting pneumonia. 2, 3

  • Urinary tract: Evaluate for dysuria, flank pain, frequency, new or worsening incontinence. 4, 2, 3

  • Skin/soft tissue: Examine for erythema, warmth, purulent drainage, cellulitis. 2, 3

  • Gastrointestinal: Check for abdominal pain, peritoneal signs, diarrhea suggesting intra-abdominal infection. 1, 2, 3

Targeted Diagnostic Testing

  • Urinalysis with leukocyte esterase/nitrite dipstick and microscopic examination - if pyuria present, obtain urine culture as UTI is a common occult source in adults. 2, 3

  • Blood cultures if any signs of systemic infection are present (fever, hypotension, tachycardia, altered mental status). 2, 3

  • Chest radiography if respiratory symptoms or hypoxemia documented. 3

  • Lactate level - if >3 mmol/L, indicates severe sepsis requiring immediate intervention. 2

Red Blood Cell Parameters

The elevated RDW% at 14.5% combined with low MCH (26.9) and low MCHC (30.3) suggests iron deficiency anemia or anemia of chronic disease, which commonly accompanies active infection or inflammatory states. 4

Management Algorithm

If Patient is Hemodynamically Stable:

  • Complete the diagnostic workup outlined above before initiating antibiotics. 2

  • Do not treat based solely on laboratory findings without clinical correlation if patient is asymptomatic. 2, 3

If Sepsis Criteria Present:

  • Initiate broad-spectrum empiric antibiotics within 1 hour of recognition. 2

  • Aggressive fluid resuscitation for hypotension. 2

  • Vasopressor support if hypotension persists despite fluids. 2

  • Source control measures (drainage of abscesses, removal of infected catheters). 2

Critical Pitfalls to Avoid

  • Do not ignore elevated neutrophil count when total WBC is only mildly elevated - left shift can occur with normal WBC and still indicate serious bacterial infection. 1, 2, 3

  • Do not overlook the significance of absolute neutrophil count elevation when total WBC is only mildly elevated. 1

  • Do not delay antibiotics in severe sepsis/septic shock while awaiting culture results. 2

  • Do not treat asymptomatic patients with antibiotics based solely on mildly elevated neutrophil counts. 1, 2

Alternative Considerations

If no infection source is identified after thorough evaluation:

  • Consider non-infectious causes including medications (lithium, beta-agonists, epinephrine). 1, 3

  • Evaluate for tissue damage or inflammatory conditions (trauma, surgery, ischemia) which can cause persistent inflammation-immunosuppression and catabolism syndrome (PICS). 5

  • The low monocyte count (2.4%) is notable, as monocyte counts tend to decrease during acute bacterial processes. 4

References

Guideline

Neutrophilia Causes and Diagnostic Approach

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Appropriate Follow-Up for Leukocytosis Without Identified Infection Source

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2026

Guideline

Left Shift Diagnosis and Management

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Inpatients With 'Unexplained' Leukocytosis.

The American journal of medicine, 2020

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Professional Medical Disclaimer

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.

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