Hello, I went to a Hematologist because my spleen was enlarged (19cm) on a CT scan I got while I was 7mo pregnant to evaluate for a PE (didn't have one). I wasn't able to get in to her office until 6 months after the CT scan, and when she did one my spleen had shrunk to 10cm. She did an EBV test and it showed current Mono infection, but my CBC showed normal WBC? It is now 1 month after my visit (7 months after swollen spleen) and my lymph nodes are still swollen big enough that I can barely swallow (they were not swollen while I was pregnant). WBC is still normal even though I still run a low fever once a week. Can I still have mono with normal WBC, and do you think that is why my spleen was swollen?
Background: 24yo white female, history of SVT & arthritis since 5yo. No medications & on prenatal vitamin only
Below are my lab results.
Antibody to nuclear RNP measurement (RNP ab) <1.0 NEG
ANA titer, U/mL (Anti-nuclear ab titer, U/mL) <1:40
(Chromatin (nucleosomal) ab) <1.0 NEG
(NRBC, #/100 wbc) 0 #/100 wbc
Granulocytes, immature, automated, % (IG %) 0.3%
(NRBC %) 0 /100 wbc
(MPV) 10.2 fL 7.4 || 10.4
Hemoglobin determination (HGB) 14.8 g/dL 12.0 || 16.0
Hematocrit determination (HCT) 41.3% 37.0 || 47.0
Mean corpuscular volume (MCV) 85.9 fL 81.0 || 99.0
(Platelet morphology) Normal
Red cell distribution width determination (RDW) 12.6% 10.5 || 14.5
Mean corpuscular hemoglobin concentration determination (MCHC) 35.8 g/dL 33.0 || 37.0
Mean corpuscular hemoglobin determination (MCH) 30.8 pg 27.0 || 31.0
Platelet count (PLT) 255 x 10^3/uL 130.0 || 400.0
Basophil count (BA #) 0 x 10^3/uL 0 || 0.1
Eosinophil count (EO #) 0.2 x 10^3/uL 0 || 0.3
Monocyte count (MO #) 0.5 x 10^3/uL 0 || 1.0
Lymphocyte count (LY #) 1.8 x 10^3/uL 1.2 || 3.4
Neutrophil count (Neu # (ANC)) 4.9 x 10^3/uL 1.5 || 6.5
White blood cell count (WBC) 7.6 x 10^3/uL 4.8 || 10.8
Red blood cell count (RBC) 4.81 x 10^6/uL 4.2 || 5.4
Basophil, percent (BA %) 0.5% 0 || 1.0
Eosinophil, percent (EO %) 3.2% 0 || 3.0
Monocyte, percent (MO %) 7.2% 3.0 || 11.0
Lymphocyte, percent (LY %) 23.7% 15.0 || 41.0
Neutrophil, percent (Neu %) 65.1% 40.0 || 77.0
Plt Est (Platelet estimate) Agrees with Analasys
RBC Morph (manual) (RBC morph) Normal
Unsaturated iron binding capacity measurement (Iron, % saturation) 28.52% 20.0 || 50.0
(EBV capsid ab titer, IgM) < OR = 0.90
Chemistries (Comprehensive Metabolic Panel)
Creatinine measurement, serum (Creatinine) 0.8 mg/dL 0.6 || 1.3
Chloride measurement (Chloride) 102.2 mmol/L 97.0 || 107.0
Urea nitrogen measurement (BUN) 8.5 mg/dL 7.0 || 18.0
Sodium measurement (Sodium) 141.5 mmol/L 136.0 || 145.0
Calcium measurement (Calcium) 9.2 mg/dL 8.5 || 10.1
Alkaline phosphatase measurement (Alkaline phosphatase) 93 U/L 46.0 || 116.0
Albumin measurement (Albumin) 4.28 g/dL 3.4 || 5.0
Protein measurement (Total protein) 7.6 g/dL 6.4 || 8.2
Potassium measurement (Potassium) 3.72 mmol/L 3.5 || 5.1
Bicarbonate measurement (CO2) 30.6 mmol/L 21.0 || 32.0
Glucose measurement (Glucose) 97.8 mg/dL 74.0 || 106.0
Antibody to double stranded DNA measurement (ds-DNA antibody, quant) 43< complement assay (C3, serum) 122 mg/dL
Complement assay, total (Complement CH50, total) 50 U/mL 31.0 || 60.0
Antibody to SS-B measurement (Sjogren's antibodies (SSB)) <1.0 NEG
Antibody to SS-A measurement (Sjogren's antibodies (SSA)) 60
Granulocytes, immature, automated (IG #) 0.02 x 10^3/uL
(BUN/Creatinine ratio) 10.6 6.0 || 25.0
Bilirubin, total measurement (Bilirubin, total) 0.5 mg/dL 0.2 || 1.0
Aspartate aminotransferase measurement (AST/SGOT) 12.3 U/L 15.0 || 37.0
Albumin/Globulin ratio (A/G ratio) 1.3 0.8 || 2.0
Alanine aminotransferase measurement (ALT/SGPT) 24 U/L 14.0 || 59.0
Lactate dehydrogenase measurement (LDH) 131 U/L 81.0 || 234.0
(TIBC) 357.7 ug/dL 250.0 || 450.0
Globulin measurement (Globulin) 3.3 g/dL 2.2 || 4.2
(Iron / FE) 102 ug/dL 50.0 || 175.0
Angiotensin converting enzyme measurement (ACE) 12 U/L 9.0 || 67.0
(EBV panel interpretation) SEE NOTE
(EBV VCA, IgG, Index) 3.71 Index
(EBV nuclear ag (EBNA) ab, IgG, EIA) 2.4 EIA value
Ferritin measurement (Ferritin) 20.5 ng/mL 15.0 || 200.0
(Sedimentation rate, Westergren) 2 mm/hr
Thanks