Chemotherapy and radiation therapy
and certain autoimmune disorders also result in
neutropenia. So do not freak out. The cause has to be found out.
Absolute lymphocyte count is usually less than 4000 per microliter. So your count is high. Metamyelocyte is a normal stage in the maturation of granulocytes, and are usually seen in peripheral blood in infections and in bone marrow cancers or severe anemia.
In your case, the counts probably indicate an infection.