First off, thank you so much for the response!
I am 22 weeks pregnant.
My last fever was around New Year's—it lasted just one day and didn't go above 100.4°F—but since then, I’ve been struggling with a cough and constant nasal congestion. That blowing my nose part hasn't let up. Aside from that, I feel fine and haven't had any other symptoms. That's why the idea of "inflammation" caught me off guard. There might be some minor focal point of infection in my nose, but I'm really hesitant about taking antibiotics—especially since my nasal swab came back sterile.
The doctor prescribed klavocin, which I haven't taken—primarily because, following my OBGYN's instructions, I had my CRP checked twice with 10 days between tests, and the results were normal.
I am 22 weeks pregnant.
My last fever was around New Year's—it lasted just one day and didn't go above 100.4°F—but since then, I’ve been struggling with a cough and constant nasal congestion. That blowing my nose part hasn't let up. Aside from that, I feel fine and haven't had any other symptoms. That's why the idea of "inflammation" caught me off guard. There might be some minor focal point of infection in my nose, but I'm really hesitant about taking antibiotics—especially since my nasal swab came back sterile.
The doctor prescribed klavocin, which I haven't taken—primarily because, following my OBGYN's instructions, I had my CRP checked twice with 10 days between tests, and the results were normal.
Maria Fisher46 said:Ma'am,
how far along are you?
It is quite common for white blood cell counts to rise slightly during pregnancy due to the influence of estrogen; additionally, in certain cases, we see an increase in neutrophils and a slight rise in eosinophils. However, one cannot overlook how infection markers manifest during pregnancy—specifically regarding actual symptoms and CRP levels. If there is suspicion of an active infection, a thorough patient history must be taken and CRP levels determined, which, in this instance, has already been done.
It is clear that the CRP is within the normal range.
On the other hand, the blood work shows an increase in neutrophils and mentions the presence of toxic granules.
Outside of pregnancy, such a finding would lead us to prioritize investigating a bacterial infection.
However, the complication here is that this can also be observed in a normal pregnancy.
Given that the results are what they are, it feels unusual for me to say this—given the discrepancy between the leukocyte count, neutrophils, and CRP—but I would rely primarily on the clinical picture, or rather, your physical state: how long did that fever last, does it keep returning, and do you feel your general condition is improving or worsening?
Furthermore, did your primary care physician mention which specific antibiotic she would prescribe and where she believes the potential site of infection is located?