Leukocyte Count and Absolute Lymphocyte Count Results in Covid-19 Confirmed Case Susanti Ratunanda1, Emilia R Putri2, Herfina H Putri2
1)Clinical Pathology Department, Faculty of Medicine - Universitas Jenderal Achmad Yani
2)Faculty of Medicine-Universitas Jenderal Achmad Yani
Abstract
Indonesia is the first rank country in Southeast Asia and 19th in the world with the highest number of Covid-19 cases. Examination of leukocyte count and absolute lymphocyte count can support the diagnosis of COVID-19 cases, especially as in predictor, prognosis and monitoring aspects. The aim of this study is to determine the results of leukocyte count and absolute lymphocyte count in confirmed COVID-19 cases, based on age, gender and comorbidities at Kasih Bunda Hospital, Cimahi. This descriptive study using medical record of 35 confirmed COVID-19 patients with simple random sampling technique. The results showed 31 patients (88.6%) had normal leukocyte count and 4 (11.4%) had leukocytosis. Lymphopenia was found in 16 patients (45.7%) and 19 (54.3%) had normal absolute lymphocyte counts. Most patients in all ages had normal leukocyte count and none had leukopenia with leukocytosis was more prevalent in elderly group (1 patient, 33,3%). Lymphopenia mostly found in late elderly (6 patients, 17, 1%) and no lymphocytosis was found in all age group. Almost all patients in all gender had normal leukocyte count and none had leukopenia, and leukocytosis was more prevalent in men (2 patients, 16,7%). Most of male (8 patients, 66.7%) had lymphopenia and (15 patients, 54.3%) female had normal absolute lymphocyte count. Most patients with or without comorbid had normal leukocyte count and none had leukopenia and 3 patients (12%) with no comorbid had leukocytosis. Normal absolute lymphocyte count was found in 7 patients (50%) and lymphopenia in 7 patients (50%) in comorbid patients, 12 patients (57.1%) with no comorbid had normal absolute lymphocyte count and 9 (42.9%) had lymphopenia. Elderly more likely had leukocytosis and lymphopenia due to decrease immune response. Male had leukocytosis and lymphopenia due to higher prevalence of active smoking. Comorbid patients had normal leukocyte count might be related to previous medication.