The presence of too many white blood cells can mean several things. As a vital component of the immune system, the body deploys white blood cells when it detects anything from a basic bacterial or viral infection, to a form of blood cancer (leukemia). Show
Too Many White Blood CellsWhile having an elevated or abnormally high white blood cell count does not necessarily indicate leukemia, the source of the condition will need to be identified if it is found to exceed the levels and duration of a normal immune response to an infection.  The main causes of elevated white blood cells include:
When a high white blood cell count is not caused by general infections and immune system malfunctions or responses, it may be an indication of a more specific issue or condition, such as:
Because a higher than normal white blood cell count is detected through a blood test, typically during a diagnostic evaluation to find the source of a specific symptom or a set of symptoms such as listed above, it is important to get timely medical attention for any symptoms that seem out of the ordinary and do not resolve on their own over time. The board-certified oncologists and blood cancer specialists at the Cancer Center of Southern California in Los Angeles offer the most cutting-edge and state of the art diagnostic technologies available. Monocytes – largest of the white blood cells, have the exclusive ability to identify and engulf foreign particles Neutrophils – attach to the walls of healthy blood vessels in order to prevent access of bacteria and infections through cuts or wounds Lymphocytes – responsible for producing antibodies, lymphocytes also create immunity by storing a memory of the immune response once an illness or infection has been effectively targeted. Basophils – responsible for the production of histamines, anticoagulants, and antibodies, and are part of the immune system’s “first response” against foreign invaders. Eosinophiles – the main function of eosinophiles is to produce the toxins responsible for killing pathogens in the body, specifically parasites and worms. A high presence of eosinophiles in the body can be an indication of an allergic reaction. A white blood count measures the number of white cells in your blood. White blood cells are part of the immune system. They help your body fight off infections and other diseases. When you get sick, your body makes more white blood cells to fight the bacteria, viruses, or other foreign substances causing your illness. This increases your white blood count. Other diseases can cause your body to make fewer white blood cells than you need. This lowers your white blood count. Diseases that can lower your white blood count include some types of cancer and HIV/AIDS, a viral disease that attacks white blood cells. Certain medicines, including chemotherapy, may also lower the number of your white blood cells. There are five major types of white blood cells:
A white blood count measures the total number of these cells in your blood. Another test, called a blood differential, measures the amount of each type of white blood cell. Other names: WBC count, white cell count, white blood cell count What is it used for?A white blood count is most often used to help diagnose disorders related to having a high white blood cell count or low white blood cell count. Disorders related to having a high white blood count include:
Disorders related to having a low white blood count include:
A white blood count can show if the number of your white blood cells is too high or too low, but it can't confirm a diagnosis. So it is usually done along with other tests, such as a complete blood count, blood differential, blood smear, and/or bone marrow test. Why do I need a white blood count?You may need this test if you have signs of an infection, inflammation, or autoimmune disease. Symptoms of infection include:
Symptoms of inflammation and autoimmune diseases will be different, depending on the area of inflammation and type of disease. You may also need this test if you have a disease that weakens your immune system or are taking medicine that lowers your immune response. If the test shows your white blood count is getting too low, your provider may be able to adjust your treatment. Your newborn or older child may also be tested as part of a routine screening, or if they have symptoms of a white blood cell disorder. What happens during a white blood count?A health care professional will take a blood sample from a vein in your arm, using a small needle. After the needle is inserted, a small amount of blood will be collected into a test tube or vial. You may feel a little sting when the needle goes in or out. To test children, a health care provider will take a sample from the heel (newborns and young babies) or the fingertip (older babies and children). The provider will clean the heel or fingertip with alcohol and poke the site with a small needle. The provider will collect a few drops of blood and put a bandage on the site. Will I need to do anything to prepare for the test?You don't need any special preparations for a white blood count. Are there any risks to the test?After a blood test, you may have slight pain or bruising at the spot where the needle was put in, but most symptoms go away quickly. There is very little risk to your baby or child with a needle stick test. Your child may feel a little pinch when the site is poked, and a small bruise may form at the site. This should go away quickly. What do the results mean?A high white blood count may mean you have one of the following conditions:
A low white blood count may mean you have one of the following conditions:
If you are already being treated for a white blood cell disorder, your results may show if your treatment is working or whether your condition has improved. If you have questions about your results, talk to your health care provider. Learn more about laboratory tests, reference ranges, and understanding results. Is there anything else I need to know about a white blood count?White blood count results are often compared with results of other blood tests, including a blood differential. A blood differential test shows the amount of each type of white blood cell, such as neutrophils or lymphocytes. Neutrophils mostly target bacterial infections. Lymphocytes mostly target viral infections.
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