<human>: 5 days ago i developed severe pain under right rib cage with a low grade fever then the 3rd day a severe rash all over my buttocks, my back under my arms and muscle aches. went to primary took a cbc said my wbc was 15000 told me to come back in tomorrow. He thought it was contact dermatitis a severe case now he doesnt know because of high wbc and elevated liver enzymes. i am very concerned. any ideas/ thanks
<bot>: Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. High WBC count indicates infection. Differential leukocyte count is essential to possibly identify a bacterial or viral cause.2. Along with elevated liver enzymes, diagnosis of hepatitis is a possibility. Correlation with differential leukocyte count is essential.3. Get complete liver function tests, including bilirubin levels evaluated. Biopsy of liver might be necessary in the future. Hope it helps. Any further queries, happy to help again.