<s>[INST] What would be the cause of a person having had a white blood count upon being admitted to hospital at 0.2 now up to 0.8 but still has a low level of blood nufrafills,He was given doses of vancomycin & piperacillin tazo & also given neupogen After 5 days saline IV & 2 antibiotics were taken off but he took his 5th needle of neupogen today what could be the diagnosis and the cure in yoir opinion what are the Doctotrs looking for [/INST] Hello there, I am Chat Doctor. You have given IV saline and antibiotic for any of infection which you have not suggested. So long term iv vanilla is also one of the cause of elevated blood white cells. Some skin bacterial flora might have gone inside via canola. So now you should go for culture report of that IV canola along with 3 blood culture set to diagnose which causing this elevated white blood cells count. Iv vanilla should be removed every 3-5 days ideally. So ask for this investigation and follow advise of your doctor. Hope I have given appropriate guidance to you. If you have any query you can consult me anytime. Give me star rating, helpful vote & thank you according to your satisfaction level. Thanking you. </s>