WBC count
A WBC count is a blood test to measure
the number of white blood cells (WBCs)
in the blood.
WBCs help fight infections. They are
also called leukocytes. There are five
major types of white blood cells:
Basophils
Eosinophils
Lymphocytes (T cells and B cells)
Monocytes
Neutrophils
The normal number of WBCs in the blood
is 4,500 to 10,000 white blood cells per
microliter (mcL).
LOW WHITE BLOOD CELL (WBC) COUNT
A low number of WBCs is called leukopenia. A WBC count below 4500 is
below normal
One type of white blood cell is the neutrophil. This type of white blood
cell is important for fighting infections.
An adult with fewer than 1700 neutrophils in a microliter of blood
has a low white blood cell count.
If there are fewer than 500 neutrophils in a microliter of blood, the
risk for infection becomes even higher.
It may be due to:
Bone marrow deficiency or failure (for example, due to infection,
tumor, or abnormal scarring)
Cancer treating drugs, or other medicines (see list below)
Certain autoimmune disorders such as lupus
Disease of the liver or spleen
Radiation treatment for cancer
Certain viral illnesses, such as mononucleosis (mono)
Cancers that damage the bone marrow
Very severe bacterial infections
HIGH WHITE BLOOD CELL COUNT
A high number of WBCs is called leukocytosis. It may be due to:
Aplastic anemia
Certain drugs or medicines (see list below)
Cigarette smoking
Not having a spleen, due to spleen removal
Infections, most often those caused by bacteria
Inflammatory disease (such as rheumatoid arthritis or allergy)
Leukemia
Severe mental or physical stress
Tissue damage (for example, burns)
There may also be less common reasons for this result.
Drugs that may lower your WBC
count include:
Antibiotics
Anticonvulsants
Anti-thyroid drugs
Arsenicals
Captopril
Chemotherapy drugs
Chlorpromazine
Clozapine
Diuretics
Histamine-2 blockers
Sulfonamides
Quinidine
Terbinafine
Ticlopidine
Drugs that may increase WBC counts
include:
Beta adrenergic agonists (for example, albuterol)
Corticosteroids
Epinephrine
Granulocyte colony stimulating factor
Heparin
Lithium
Risks
Veins and arteries vary in size from one patient to another, and from one
side of the body to the other. Obtaining a blood sample from some
people may be more difficult than from others.
Other risks associated with having blood drawn are slight, but may
include:
Excessive bleeding
Fainting or feeling lightheaded
Hematoma (blood accumulating under the skin)
Infection (a slight risk any time the skin is broken)
Alternative Names
Leukocyte count; White blood cell count