The absolute value of monocytes at 0.9 × 10 ⁹/L is mildly elevated and may be caused by infection, inflammation, or blood system diseases. The main influencing factors were virus infection, tuberculosis, autoimmune disease, recovery period of blood disease and drug reaction.

1. Viral infection:
EB virus, cytomegalovirus and other infections can stimulate monocyte proliferation, manifested as low-grade fever, sore throat, and lymph node enlargement. Blood routine examination combined with virus antibody testing can confirm the diagnosis, usually without special treatment, and the disease can self heal within 1-2 weeks.
2. tuberculosis:
Mycobacterium tuberculosis infection will lead to the continuous increase of monocytes, accompanied by cough, night sweat and emaciation. Tuberculin test and chest CT examination are required, and standardized anti tuberculosis treatment should be administered for 6-9 months after diagnosis.
3. Autoimmune diseases:

During the active phase of diseases such as rheumatoid arthritis and systemic lupus erythematosus, an increase in monocytes can be observed, accompanied by joint swelling, pain, and rash. Antinuclear antibodies, complement and other indicators need to be tested, and immunosuppressive agents are mainly used for treatment.
4. Recovery period of hematological diseases:
During the recovery stage of bone marrow suppression after chemotherapy, there may be a transient increase in monocytes, which belongs to the normal process of hematopoietic reconstruction. Suggest dynamic monitoring of blood routine, usually gradually returning to normal within 2-4 weeks.
5. Drug reactions:
Corticosteroids, granulocyte colony-stimulating factor, and other drugs may cause fluctuations in monocyte values. It should be judged based on the medication history. After stopping the medication for 1-2 weeks, the relapse rate may decrease.

It is recommended to maintain sufficient sleep and a balanced diet, and to supplement vitamin C and high-quality protein in moderation. Avoid excessive exercise to increase immune burden, and conduct weekly follow-up blood routine to observe trends. If symptoms such as fever and weight loss continue to increase, further examinations such as bone marrow puncture and genetic testing should be conducted. Pay attention to hand hygiene and respiratory protection in daily life to reduce the risk of pathogen exposure.
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