Abstract
Serial white blood cell counts were undertaken on 100 babies who required admission to hospital in the first 4 weeks of life. Severe neutropenia was seen in 3 babies who died with overwhelming septicaemia, but a significant and early rise in the absolute polymorphonuclear neutrophil count was detected in 9 of the remaining 11 cases of septicaemia. A similar neutrophil response was seen within 24 hours of the onset of symptoms in 5 babies with meningitis, 10 babies with urinary infection, and 5 babies with pneumonia. Raised neutrophil counts were seen in only 9 of the remaining 66 babies, and all 9 had undergone major surgery.
In more than 98% of healthy babies the neutrophil count is within the range 1350 to 8840 cells/mm3 after the first 4 days of life; counts outside this range nearly always occur during serious bacterial infection.
Full text
PDF![747](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/693b/1648224/b20f5743a848/archdisch00871-0083.png)
![748](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/693b/1648224/6421acc35aa4/archdisch00871-0084.png)
![749](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/693b/1648224/9d4581e60386/archdisch00871-0085.png)
![750](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/693b/1648224/5363c6e2cb55/archdisch00871-0086.png)
![751](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/693b/1648224/81ddd9318d06/archdisch00871-0087.png)
![752](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/693b/1648224/f24e28b4fad9/archdisch00871-0088.png)
![753](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/693b/1648224/b013e4f376d6/archdisch00871-0089.png)
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- ANDREWS W. C., BONSNES R. W. The leucocytes during pregnancy. Am J Obstet Gynecol. 1951 May;61(5):1129–1135. doi: 10.1016/0002-9378(51)90315-8. [DOI] [PubMed] [Google Scholar]
- BUETOW K. C., KLEIN S. W., LANE R. B. SEPTICEMIA IN PREMATURE INFANTS. THE CHARACTERISTICS, TREATMENT, AND PREVENTION OF SEPTICEMIA IN PREMATURE INFANTS. Am J Dis Child. 1965 Jul;110:29–41. doi: 10.1001/archpedi.1965.02090030035005. [DOI] [PubMed] [Google Scholar]
- Cruickshank J. M., Morris R., Butt W. R., Crooke A. C. The relationship of total and differential leukocyte counts with urinary oestrogen and plasma cortisol levels. J Obstet Gynaecol Br Commonw. 1970 Jul;77(7):634–639. doi: 10.1111/j.1471-0528.1970.tb03583.x. [DOI] [PubMed] [Google Scholar]
- HAMILTON J. R., SASS-KORTSAK A. Jaundice associated with severe bacterial infection in young infants. J Pediatr. 1963 Jul;63:121–132. doi: 10.1016/s0022-3476(63)80310-8. [DOI] [PubMed] [Google Scholar]
- Keuth U. Zur Neugeborenensepsis. Z Kinderheilkd. 1967;101(3):278–294. [PubMed] [Google Scholar]
- MARKS J., GAIRDNER D., ROSCOE J. D. Blood formation in infancy. III. Cord blood. Arch Dis Child. 1955 Apr;30(150):117–120. doi: 10.1136/adc.30.150.117. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Marsh J. C., Boggs D. R., Cartwright G. E., Wintrobe M. M. Neutrophil kinetics in acute infection. J Clin Invest. 1967 Dec;46(12):1943–1953. doi: 10.1172/JCI105684. [DOI] [PMC free article] [PubMed] [Google Scholar]
- NASSO S., VERGA A. Le variazioni numeriche dei globuli bianchi durante le prime ore e i primi giorni di vita. Minerva Pediatr. 1955 Jun 30;7(25-26):735–742. [PubMed] [Google Scholar]
- NYHAN W. L., FOUSEK M. D. Septicemia of the newborn. Pediatrics. 1958 Aug;22(2):268–278. [PubMed] [Google Scholar]
- PLAYFAIR J. H., WOLFENDALE M. R., KAY H. E. The leucocytes of peripheral blood in the human foetus. Br J Haematol. 1963 Jul;9:336–344. doi: 10.1111/j.1365-2141.1963.tb06558.x. [DOI] [PubMed] [Google Scholar]
- Rooney J. C., Hill D. J., Danks D. M. Jaundice associated with bacterial infection in the newborn. Am J Dis Child. 1971 Jul;122(1):39–41. doi: 10.1001/archpedi.1971.02110010075012. [DOI] [PubMed] [Google Scholar]
- SMITH R. T., PLATOU E. S., GOOD R. A. Septicemia of the newborn; current status of the problem. Pediatrics. 1956 Apr;17(4):549–575. [PubMed] [Google Scholar]
- STRAKOVA M. B'IL'Y KREVN'I OBRAZ U NOVOROZENCE. Acta Univ Carol Med (Praha) 1964;10:261–297. [PubMed] [Google Scholar]
- Seeler R. A., Hahn K. Jaundice in urinary tract infection in infancy. Am J Dis Child. 1969 Oct;118(4):553–558. doi: 10.1001/archpedi.1969.02100040555002. [DOI] [PubMed] [Google Scholar]
- Xanthou M. Leucocyte blood picture in healthy full-term and premature babies during neonatal period. Arch Dis Child. 1970 Apr;45(240):242–249. doi: 10.1136/adc.45.240.242. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Xanthou M. Leucocyte blood picture in ill newborn babies. Arch Dis Child. 1972 Oct;47(255):741–746. doi: 10.1136/adc.47.255.741. [DOI] [PMC free article] [PubMed] [Google Scholar]
- ZIAI M., HAGGERTY R. J. Neonatal meningitis. N Engl J Med. 1958 Aug 14;259(7):314–320. doi: 10.1056/NEJM195808142590702. [DOI] [PubMed] [Google Scholar]