Test Detail
Overview
Interpreting Results
Tests Included

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Written by
Dr. Shreya Gupta
BDS, MDS - Oral and Maxillofacial Pathology
Reviewed by
Dr. Ashish Ranjan
MBBS, MD (Pharmacology)
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Fever Package Extensive

Fever Package Extensive Test Includes 40 testsView All
You need to provide
Blood, Urine
This test is for
Male, Female
Test Preparation
  1. No special preparation required
  2. Urine sample must preferably be the midstream urine (part of urine that comes after first and before the last stream).Collect the urine sample in a sealed and sterile container provided by our sample collection professional. Make sure that the container doesn't come in contact with your skin. Please be informed that urine sample is a part of this package, you are required to submit all the samples that are a part of the package during the sample collection itself

Overview


What is Fever Package Extensive?

Fever Package Extensive is a panel of tests which helps in screening for some common causes of fever like malaria, dengue, typhoid and urinary tract infections (UTI). You should get tested if you are having high fever and weakness. This package will help to identify the cause of your fever so that the correct treatment can be initiated.


Why is Fever Package Extensive done?

-If you are suffering from chronic low-grade fever
-If you have signs or symptoms of typhoid (enteric) fever-like headache, high fever, abdominal pain, diarrhea, weight loss, or skin rashes

-If you have signs and symptoms of dengue such as , high fever, pain behind the eyes, abdominal pain, body aches and skin rash. 

-If you have signs or symptoms of malaria-like fever with shaking chills, headaches
In suspected cases of pyrexia of unknown origin (PUO)



What does Fever Package Extensive Measure?


The Typhi dot test measures IgM Antibody against Salmonella typhi. These antibodies are produced against the outer membrane protein (OMP) of Salmonella typhi. The presence of IgM antibodies indicates a recent infection while the presence of IgG antibodies indicates a remote infection.

The peripheral smear examination (P/S) is also known as blood smear, is done to evaluate the different components of the blood.

The peripheral smear examination is done:



-In case of signs or symptoms of anemia such as weakness, fatigue, pale complexion, unexplained jaundice, and enlargement of the spleen.



-In case the results of complete blood count or WBC differential is abnormal.


-In case of signs or symptoms of conditions affecting red blood cell production.


Chikungunya IgM test is used for the diagnosis of chikungunya antibodies in serum or plasma collected from patients. This test is carried out in patients suffering from the signs and symptoms consistent with  Chikungunya such as fever or chills during the acute phase.

Dengue antigen NS1 test is used for the diagnosis of dengue antigen in serum or plasma collected from patients. This test is carried out in patients suffering from the signs and symptoms consistent with dengue such as fever or chills during the acute phase.

The Widal test is one method that may be used to help make a presumptive diagnosis of enteric fever, also known as typhoid fever. This test is ordered when symptoms such as high fever, abdominal pain, diarrhea or constipation, fatigue, headache, weight loss, and rashes. Early diagnosis and treatment are crucial as serious complications, including severe intestinal bleeding or perforation, can develop within a few weeks of infection.


Malarial falciparum and vivax antigen testing is rapid diagnostic tests used for detecting malaria antigens (proteins) in a person's blood and indicate a positive result by a color change on the testing strip also known as "dipstick" tests. The type of rapid test used is dependent on the patient population and the goals of providing a rapid test result.

Urine Routine test


  • Appearance & color

Your urine sample will be checked for appearance. Urine is usually clear. Cloudiness or an unusual odor may indicate an infection. If your urine contains blood it may make it look red or brown. 


  • Acidity (pH): The pH level indicates the acid levels of urine. Abnormal pH levels may indicate a kidney disorder or urinary tract disorder.

  • Specific gravity: It measures the concentration of your urine. It shows how much-concentrated particles are there in your urine. A higher than normal concentration often represents dehydration.

  • Protein: A mild increase in protein levels in urine is usually not a cause for concern. But, a number higher than normal can indicate a kidney problem.

  • Glucose: The detection of sugar on this test may indicate high sugar levels, which usually calls for follow-up testing for diabetes.

  • Ketones: Similar to sugar, any amount of ketones detected in your urine could be a sign of diabetes, which requires follow-up testing. 

  • Bilirubin: Bilirubin in your urine indicates liver disease or damage.

  • Bile Pigments: Bile pigments in urine can indicate underlying liver disease such as jaundice. 

  • Nitrites: If the product of white blood cells, such as nitrites is detected in your urine, it may be a sign of a urinary tract infection.

  • Red blood cells: Blood in your urine may be a sign of kidney damage, infection, kidney or bladder stones, kidney or bladder cancer, or blood disorders. This will require further testing.

  • Mucus: A large amount of mucus in urine may indicate urinary tract infection, kidney stones, sexually transmitted diseases, irritable bowel syndrome or even bladder cancer. 

  • Pathological casts: These are the tube-shaped particles that can be examined under a microscope. This test indicates any underlying kidney condition. 

  • Pus cells: Also known as Pyuria, it is the condition in which white blood cells or other blood cells are present in the urine. This may indicate an underlying urinary tract infection, sepsis, or pneumonia. 

  • Epithelial cells:  These are the cells present on the surface of your body. While a small number of epithelial cells in your urine are normal, a higher level may indicate urinary tract infection, kidney or liver disease, and certain kinds of cancer. 

  • Crystals: Crystals in urine are also known as crystalluria. This test is a part of urinalysis and it reveals kidney stones or any other kidney disease

Hemogram also known as a complete blood count (CBC) test is a group of tests that provides information about your blood group and blood cells like Red Blood Cells (RBC), White Blood Cells (WBC), and platelets. It is routinely performed to provide an overview of a patient's general health status. It is also helpful in detecting a variety of disorders including infections, anemia, diseases of the immune system, and blood cancers and is done to monitor an existing blood disorder and its treatment such as chemotherapy or radiotherapy.


Interpreting Fever Package Extensive results


Interpretations


  • Positive Salmonella typhi IgM test suggests recent infection with bacteria Salmonella Typhi causing typhoid fever 

  • Negative Salmonella typhi IgM test usually indicates no infection with the bacteria


Tests Included (40 tests)


  • Complete Haemogram(includes 14 tests)

    Complete Blood Count (includes 13 tests)

    Erythrocyte Sedimentation Rate

  • Peripheral Smear Examination
  • Chikungunya IgM
  • Widal Test (Slide Agglutination)
  • Malarial Antigen (Vivax & Falciparum) Detection
  • Dengue Antigen NS1 Antigen
  • Urine Routine & Microscopy(includes 12 tests)

    Ketone

    Specific Gravity

    Colour

    Epithelial Cell

    Nitrite

    Protein Urine

    Glucose - Fasting Urine

    Casts

    Urobilinogen

    Appearance

    Ph for Urine

    Crystals

  • Typhi Dot IgG & IgM

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