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Smudge Cells

I was recently admitted for an unknown illness. From my understanding, doctors were between viral infection and allergic reaction. I was treated with IV and oral steroids, benadryl and antibiotics.
I had fever, rash, tachycardia (3 weeks later, tachycardia continues), migraine, fatigue, shortness of breath, difficulty deep breathing, chest pain...
Abnormal labs: WBC 2.4, lmphocytes: 0.6, Platelets 139, low mg, ca and k. PB smear showed: smudge cells, react lymphocytes 2+ and giant platelets. Also had a "false positive" IgM for rocky mountain spotted fever.
Labs 2 weeks after start of illness were on the low end of normal.

Many symptoms continue now a month later. What steps should I take at this point? Should I be concerned if labs were improved last checked?
1 Responses
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973741 tn?1342342773
Hi there. So you are saying that your labs all returned to normal? Smudge cells 'can' just be indicative of weakened cells. But what did the doctor say for why they were there and then not there? Any follow up to this?
Helpful - 0
Since writing this post, my labs have fluctuated. WBC dropped again. Electrolytes and liver labs drop from time to time. And many other values are nearly low but normal. I never had a follow up blood smear. Many symptoms continue. I’ll see a hematologist in the morning. Still no update. They told me it was a virus.
They told me it was a virus, but they are unsure
Hello. I think it sounds frustrating to be wanting answers here and be told just a virus. Maybe it is but ruling out all other things would make sense. Did you see the hematologist?

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