Differential Diagnosis: Neutrophilia

Marie Chartier, DVM, DACVIM, VCA Roberts Animal Hospital, Hanover, Massachusetts

ArticleLast Updated June 20211 min readPeer Reviewed
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Following are differential diagnoses for patients presented with an elevated neutrophil count.

  • Increased production associated with bone marrow response to inflammation

    • Infection (eg, bacterial, viral, fungal, protozoal) of any organ system 

    • Sterile inflammation (eg, immune-mediated disease, neoplasia, tissue trauma or necrosis) 

  • Increased production associated with bone marrow response to peripheral cytopenias (eg, hemolytic anemia, hemorrhagic anemia, thrombocytopenia) 

  • Glucocorticoid-associated

    • Stress (physical)

    • Glucocorticoid administration

    • Hyperadrenocorticism

  • Granulocytic leukemia

  • Specific infections causing severe leukemoid response 

    • Hepatozoonosis (Hepatozoon canis)

    • Babesiosis (Babesia canis)

  • Leukocyte adhesion deficiencies in dogs (eg, Irish setter), usually associated with hypersegmented neutrophils