Elevated white blood cell count in a cat: causes and treatment
When animals become ill, examination almost always begins with a blood test. Elevated white blood cell counts in a cat's blood indicate an inflammatory process. White blood cells are colorless, anuclear blood cells. Their primary function is to fight foreign elements and destroy waste products, so the white blood cell count serves as a useful indicator of inflammation caused by allergies, infections, or illnesses.

Types of leukocytes, leukogram
The norm for cats is considered to be the content of leukocytes within the range of 5.5•103 ÷ 18.5•103 U/L. Leukocytosis (an elevated level of these blood elements) can be caused by dozens, even hundreds, of factors. Leukocytosis can be caused by physiological factors such as stress, pain, and pregnancy. In this case, the abnormal blood count does not persist for long. However, if a repeat blood test shows a leukocyte level above the acceptable norm, the veterinarian will refer the cat for a full laboratory and imaging examination.
There are several types of white blood cells, and their percentage ratio is called a leukocyte count or leukogram. Previously, each type of leukocyte was counted visually: a dried and stained blood smear was placed under a microscope, and the number of cells within the field of view was counted. Today, a leukogram is obtained using a specialized analyzer that accurately calculates the ESR and leukocyte count in just a few minutes.
The following indicators are considered acceptable:
|
Type of leukocytes |
% of total |
The role of the element in the body |
Reasons for the increase in quantity |
|
Lymphocytes
|
20-25 |
recognize and destroy foreign proteins |
blood diseases, the presence of viral and bacterial infections (including latent ones), chronic inflammatory diseases |
|
Monocytes
|
1-4 |
phagocytose dead cells and "used" antibodies. |
oncology, infections, early postoperative period |
|
Eosinophils
|
0-4 |
absorb and utilize the antigen-antibody complex
|
allergic reactions, atopic diseases, long-term use of antibiotics, helminthiasis |
|
Platelets |
up to 500 million units/l. |
ensure blood clotting processes |
pregnancy, bleeding, period after recent surgery, taking corticosteroids |
|
Neutrophils
|
mature 35÷75 immature 0÷3 |
destroy foreign protein elements and toxin molecules |
Hereditary diseases: Pelger-Huette anomaly and Chédiak-Higashi syndrome, poisoning, acute infectious process, steroid therapy |
|
Basophils
|
are absent |
form an inflammatory reaction, releasing heparin, serotonin, histamine, |
severe purulent infections, allergic reactions, inflammatory diseases of the gastrointestinal tract, liver, kidneys, endocrine disorders |
If an excess of the general level of leukocytes is called leukocytosis, then an excess of the norm for individual types of them is called granulocytosis, lymphocytosis, thrombocytosis, monocytosis, etc.
Good to know: A person cannot contract leukocytosis from a cat. However, since some diseases are common to humans and animals, the disease that causes leukocytosis in a cat may pose a risk.
Diagnostics
A leukogram significantly narrows the search for the cause of leukocytosis, as it helps determine whether the pathology is infectious or parasitic. However, a definitive diagnosis cannot be made based on a leukogram alone, as elevated leukocyte levels in cats can develop not only as a result of non-infectious processes but also in many acute and chronic systemic diseases. It should also be remembered that increased red blood cell production is often a temporary response to a physiological factor.

Therefore, differential diagnosis of the causes of leukocytosis, in addition to collecting anamnesis and a thorough examination of the animal, may include:
- clinical blood test (study of the morphology of formed elements, determination of biochemical composition and physicochemical properties);
- urine analysis;
- stool analysis;
- PCR analysis (an ultra-sensitive method based on the polymerase chain reaction, which makes it possible to detect even a small number of infectious agents);
- Blood ELISA (enzyme-linked immunosorbent assay) allows for the detection of fragments of bacteria and viruses, as well as the products of their vital activity or decay;
- Ultrasound of internal organs;
- X-ray examination.
Treatment of the underlying disease
Leukocytosis is not a disease, but a symptom. An elevated blood count is a signal of a pathological process in the body. Therefore, talking about treating leukocytosis is incorrect; the underlying condition should be treated.
If a cat's high white blood cell count is the result of physiological factors (pain, stress) or medication, this level will return to normal on its own after the underlying cause is eliminated.

Important! Each case requires its own treatment strategy to eliminate an infection or treat a systemic disease. Therefore, cat owners should never rely on their own efforts to relieve the symptoms of leukocytosis; only a qualified veterinarian can make a prescription.
Depending on the type of pathology detected during examination, the cat may be prescribed:
- Antiviral agents Anandin, Camedon, Neoferon, Fosprenil;
- Antibacterial agents Amoxicillin, Gentamicin, Clamoxil, Engemicin;
- Antihistamines Diazolin, Tavegil, Loratadine, Cetirizine;
- Anti-inflammatory and analgesic drugs Cantaren, Liarsin, Ketofen, Rimadyl, Flexoprofen.
With some illnesses, pronounced leukocytosis in cats eventually gives way to leukopenia: the body can't cope with the increased production of "invader-fighting" proteins, and the white blood cell count drops below normal. Therefore, veterinarians often prescribe immunomodulatory medications to cats with leukocytosis, which increase the immune system's resistance, such as Gamavit, Vetozal, Immunovet, Kinoron, and Fosprenil.
Read also:
- Low White Blood Cells in Cats: Symptoms and Treatment
- Leukemia in cats: symptoms and treatment
- Distemper (panleukopenia) in cats: symptoms and treatment
2 comments
Elena
Based on the clinical blood test, the veterinarian reported an inflammatory process and high hemoconcentration. He recommended a 0.9% sodium chloride IV. But our cat won't be able to comfortably remain on the IV for that long.
Elevated hematocrit 78.1, hemoglobin 261, red blood cells 24. Platelet count 0. She had an epileptic seizure the day before the blood test. A few days later, we noticed she wasn't responding to sound. She's eating and going to the bathroom normally. Any advice?
Daria is a veterinarian
Hello! The numbers are really skyrocketing. This usually indicates dehydration, but it can also be due to kidney or spleen issues. IVs are a must! Thin the blood and lower the red blood cell count and hematocrit. Platelet counts like these are cause for alarm! A repeat blood test is a good idea. Perhaps there was an error in the test (either manually or on a machine). What's the leukogram? Normal? What's the animal's age and symptoms?
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