Conversation: The conversation between human and AI assistant.
[|Human|] Hi.. my 2-month old son has a WBC count of 27,000. X ray shows he has pneumonia. He was given antibiotics tru IV fluids, then it went down to 22,000, but after 3 days of oral antibiotics, the wbc went up to 25,000. He also has his lymph node enlarged (below the left ear). Is it because of pneumonia? thanks
[|AI|]  Hi, I am Chat Doctor.  You have not mentioned size of lymph node, it is tender, is single node enlarged or others are also enlarged.  Lymph node enlargement is not due to pneumonia, it may be related to factors responsible for pneumonia. If there are significant lymph node enlargement, especially if persists after antibiotics treatment one need to rule out other causes by detailed peripheral blood film examination for any abnormal cells, Manitou test, ESR and if required biopsy of lymph node. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Take care