Fever Profile (Malaria / Typhoid / Dengue)

The comprehensive fever profile test is a health examination package that may help evaluate common causes of fever, including malaria, dengue, and typhoid.

Depending on the package, the tests include CBC, urine analysis, liver enzymes, dengue serology, malaria testing, and typhoid serology.

These tests may help identify or support the evaluation of common causes of fever; the results should be interpreted along with symptoms, clinical examination findings and other relevant investigations.

This package may help evaluate possible causes of fever when the cause is not immediately clear. The test may help in the following situations:

• Fever persists and does not improve as expected with associated concerning symptoms.
• High fever with concerning symptoms.
• Fever associated with symptoms, such as chills, excessive sweating, bone and muscle pain, shivering, rashes, sore throat, and pain on urination.
• Recurrent and persistent fever.
• Recent travel history.

You should consider this test in the following situations:

This comprehensive check-up may help identify early indications of the following conditions:

• Malaria
• Dengue fever
• Typhoid fever

Note: The fever profile test is an initial evaluation and does not, by itself, confirm or exclude all other causes of fever. Abnormal results require further tests for confirmation.

What to Expect Before the Test

• No fasting is required for the fever profile test.
• Always inform your doctor about any supplements or medications you are taking before the test.
• Consult your doctor for any special instructions before the test based on your specific medical history.

What to Expect During the Sample Collection

Providing your samples is a quick and routine process. Both a blood and a urine sample are needed for this test.

You can expect the following during sample collection:

Blood sample:

• An elastic band is tied around your upper arm to improve access to your veins.
• A needle is inserted into a vein of the inner arm to collect the blood sample.
• A bandage is placed over the puncture site after collection.

Urine Sample:

• You will be given a clean collection cup.
• You are required to collect a midstream urine sample in the same collection cup and hand it over to the phlebotomist, who will carefully label and store the sample.

What to Expect After the Test

• This blood and urine sample collection procedure is usually safe with minimal to no risks.
• Feeling dizzy for a few seconds is normal; sit and relax for a few minutes to recover.

Note: If you notice anything unusual at the puncture site, such as persistent bleeding, a rash, or pain, consult your doctor.

The comprehensive fever profile test includes a total of 110 parameters:

Complete Blood Count (CBC) (20 parameters):

• Haemoglobin (Hb)
• Haematocrit (PCV)
• Total Red Blood Cell Count (RBC)
• Mean Corpuscular Volume (MCV)
• Mean Corpuscular Haemoglobin (MCH)
• Mean Corpuscular Haemoglobin Concentration (MCHC)
• Red Cell Distribution Width - SD (RDW-SD)
• Red Cell Distribution Width (RDW - CV)
• Red cell distribution width index (RDWI)
• Mentzer Index (a simple calculation-based blood test that helps distinguish between certain types of anaemia)
• Total Leukocyte Count (TLC/WBC Count)
• Differential Leucocyte Count (7 parameters)
• Neutrophils Percentage
• Lymphocytes Percentage
• Monocytes Percentage
• Eosinophils Percentage
• Basophils Percentage
• Immature Granulocyte Percentage (IG%)
• Nucleated Red Blood Cells %
• Absolute Leucocyte Count (5 parameters)
• Neutrophils - Absolute Count
• Lymphocytes - Absolute Count
• Monocytes - Absolute Count
• Basophils - Absolute Count
• Eosinophils - Absolute Count
• Immature Granulocytes (IG)
• Nucleated Red Blood Cells
• Platelet Count
• Mean Platelet Volume (MPV)
• Platelet Distribution Width (PDW)
• Platelet to Large Cell Ratio (PLCR)
• Plateletcrit (PCT)

Complete Urine Analysis:

• Physical Examination (5 parameters)
• Volume
• Colour
• Appearance
• Specific Gravity
• pH
• Chemical Examination (10 parameters)
• Urinary Protein
• Urinary Glucose
• Urine Ketone
• Urinary Bilirubin
• Urobilinogen
• Bile Salt
• Bile Pigment
• Urine Blood
• Nitrite
• Leucocyte Esterase
• Microscopic Examination (9 parameters)
• Mucus
• Red Blood Cells
• Urinary Leucocytes (pus cells)
• Epithelial Cells
• Casts
• Crystals
• Bacteria
• Yeast
• Parasite

Malaria parasite detection /species identification 

• Plasmodium Vivax
• Plasmodium Falciparum

Liver Enzymes (3 parameters)

• Alanine Transaminase (SGPT)
• Aspartate Aminotransferase (SGOT)
• SGOT / SGPT Ratio

Erythrocyte Sedimentation Rate (ESR)

Widal test (test your body’s immune response to the bacteria that cause typhoid; 4 parameters)

• Salmonella Typhi – O
• Salmonella Typhi – H
• Salmonella Paratyphi – A (H)
• Salmonella Paratyphi – B (H)

Dengue Rapid test (3 parameters)

• Dengue – IgG antibody rapid test
• Dengue - IgM antibody rapid test
• Dengue NS1 antigen rapid test

The typical range for each test in this package will be specified in your comprehensive report. The table below shows the expected normal values for some key parameters of the fever profile test.

Note:

• Normal values may vary depending on laboratory standards, age, and existing health conditions.
• This package is a screening tool, not a confirmed diagnosis.
• Abnormal results should always be discussed with a doctor.

The following table shows what different test results in your report may indicate:

Note: These results are not diagnostic. Abnormal values only indicate a possible risk, and your doctor may recommend further tests for confirmation.

Testing is generally safe. However, possible risks and limitations include:

Risks (rare):

• Mild discomfort or bruising during blood collection (resolves quickly on its own).

Understanding the Limitations:

• This test is only used as an initial check-up, not a confirmed diagnostic test.
• Some results may be false-positive or false-negative results.
• Further tests may be required for confirmation.

Your doctor may recommend the following tests if any of your test results are abnormal, based on which tests have abnormal results:

• Comprehensive metabolic panel
• ECG
• Ultrasound

Note: These tests are recommended based on your individual results and doctor’s advice.