A member asked:

My blood report says neutrophils show a left shift and toxic changes. rouleaux present.is it serious ?

A doctor has provided 1 answer
Dr. Hunter Handsfield answered

Specializes in Infectious Disease

Discuss w/ doctor: This could indicate a serious infection, but that depends more on other symptoms than on the blood count alone -- depending on the site of infection, whether you have Fever, pain, cough, or any number of other symptoms; and the total neutrophil count. There's no way to know with only this information. Discuss ASAP with your doctor.

Answered 2/19/2021

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