A low white blood cell count usually means your body is not making enough white blood cells. It can increase your risk of getting infections.

Common causes of a low white blood cell count include:

  • cancer treatment, like radiotherapy and chemotherapy
  • antipsychotic medicines
  • medicine for an overactive thyroid
  • some cancers, like leukaemia
  • infections such as HIV or hepatitis
  • autoimmune conditions like rheumatoid arthritis

Agranulocytosis and neutropenia are conditions that cause a low white blood cell count.

A low white blood cell count does not always cause any symptoms.

The main symptom is getting frequent infections. Signs of an infection may include:

  • a high temperature, or feeling hot, cold or shivery
  • sore throat
  • mouth sores that keep coming back
  • toothache
  • skin rashes
  • tiredness
  • flu-like symptoms

A blood test can tell you if your white blood cell count is low.

Treatment for a low white blood cell count depends on what’s causing it. Treatment often includes antibiotics.

If it’s caused by a medicine or other treatment you’re having, you may need to stop the treatment or change your dose.

You may also need specific treatment:

  • to boost your white blood cells
  • if you’ve got an infection

Occasionally, infections can lead to a life-threatening condition called sepsis.

  • avoid close contact with people who are sick

  • store and prepare food properly to avoid food poisoning

  • wash your hands with soap and warm water regularly

  • use an electric shaver instead of a razor

  • avoid shared hot tubs

  • do not share food, cups, utensils, toothbrushes or make-up

  • do not eat raw foods like meat, shellfish and eggs

  • do not change cat litter or handle animal poo

  • do not change nappies

  • do not walk outside barefoot

  • do not swim in ponds, lakes and rivers

Low white blood cell count, NHS, www.nhs.uk/conditions/low-white-blood-cell-count/

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