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This is Dr. David
I am so sorry for the loss of your mother.
with her history of RA and methotrexate, if she was suspected of pneumonia and had elevated WBC counts coming to the hospital, she should have had a blood culture to check for infection in the blood stream.
methotrexate can suppress the immune system so the WBC count is not as high as it would be without the methotrexate.
if she had fever or consolidation or pneumonia on her chest xray, this can be a sign of infection.
yes, the clinic should have caught an elevated WBC count above 10.0 and called the doctor to notify and she should have been evaluated for infection at that point.
let me know if you have other questions.
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