23monthold- 26 seg neutrophil, 55% lymphocytes, 15% atypical lymphocytes, pnuemoccocal titer failed, platlet 315, hg 13.3, ht 36.6, wbc 8.5,rbc4.68?

Common CBC pattern: The CBC results with atypical lymphocytes are common in kids fighting viruses. The lack of pneumococcal protective antibody (assuming vaccination) can be seen sometimes in healthy kids, but could result from an immunodeficiency. A pediatric infectious disease specialist at a children's hospital can help if the child's having unusual illnesses.