Fever Check-up Package With Dengue Rapid Screening (35 Tests)
Also Known As
Test Parameters Included
- CBC Complete Blood Count - Hemogram (28 Parameters): Total Leukocyte Count (TLC/White Blood Cells), Total Red Blood Cell Count (RBC), and Platelet Count; Automated Five-Part Differential WBC Count — Neutrophils (bacterial defense), Lymphocytes (viral defense), Monocytes, Eosinophils, and Basophils; Red Cell Indices & Hemoglobin Profile — Hemoglobin (Hb), Hematocrit (HCT/PCV—vital for tracking plasma leakage in severe Dengue), MCV, MCH, MCHC, RDW-CV, RDW-SD, and absolute differential counts; Advanced Platelet Metrics — Plateletcrit (PCT), Mean Platelet Volume (MPV), Platelet Distribution Width (PDW), and specialized cell morphology flags (monitoring platelet drops).
- Erythrocyte Sedimentation Rate (ESR): Measures the settling speed of red blood cells in a calibrated tube over one hour to evaluate background inflammatory velocity.
- C-Reactive Protein (CRP) Quantitative: An acute-phase hepatic protein manufactured rapidly within hours of tissue irritation or infection, serving as a real-time monitor of infection intensity.
- Malarial Parasite Identification (Smear / Rapid Matrix): Direct microscopic or immunochromatographic identification of Plasmodium parasites (P. vivax and P. falciparum) inside red blood cells.
- Widal Test (Slide Agglutination Test): Measures circulating agglutinin antibodies (Anti-O and Anti-H) built against Salmonella enterica serovar Typhi.
- Dengue NS1 Antigen: A non-structural viral protein released heavily during the early acute phase (Days 1 to 5 of fever), providing immediate early detection before antibodies form.
- Dengue IgM Antibody: The primary acute-phase antibody built by the immune system (surfaces around Days 4 to 7), confirming an active, primary Dengue infection.
- Dengue IgG Antibody: Indicates secondary, past, or late-stage Dengue exposure, helping physicians differentiate between a primary infection and a secondary Dengue flare.
Department
Methodology
Sample Required
Preparation
Schedule Report
6 Hours
Emergency Report
Yes, within 3 hours
Frequently Asked Questions
Why does the Fever Check-up Package with Dengue Rapid Screening require a 6-hour laboratory turnaround window?
Delivering accuracy for an acute 35-parameter fever panel involves multi-platform processing. This includes automated 5-part differential cell counting, Westergren ESR settling tubes, automated turbidimetric runs for quantitative CRP, manual Giemsa-stained microscopic slide searches for malarial parasites, the Widal slide agglutination test, running the 3-part Dengue rapid cassette (NS1, IgM, IgG), and final pathodiagnostic validation.
What is the difference between Dengue NS1, IgM, and IgG markers on my report?
Dengue NS1 detects a viral protein released early in the infection (Days 1 to 5). Dengue IgM detects acute antibodies built by your immune system during an active primary infection (surfacing around Days 4 to 7). Dengue IgG detects long-term antibodies, indicating a secondary infection or past exposure from years ago.
Why is monitoring both Platelets and Hematocrit (PCV) so critical during a Dengue infection?
While a falling platelet count reflects your blood's clotting capacity, a rising Hematocrit (PCV) percentage indicates that fluid is leaking out of blood vessels into surrounding tissues, causing the blood to concentrate. Tracking both metrics simultaneously helps physicians manage fluid intake and prevent Dengue Hemorrhagic Fever.
Can a person test positive for Dengue NS1 while their Dengue IgM and IgG markers look negative?
Yes, completely. During the first 1 to 3 days of a fresh Dengue fever, the virus is actively replicating and shedding the NS1 protein into the bloodstream before your immune system has had enough time to manufacture measurable IgM or IgG antibodies. Finding a positive NS1 with negative antibodies confirms very early Dengue.
What is the clinical significance of a positive Dengue IgG result paired with a positive NS1 or IgM?
Finding positive Dengue IgG alongside active NS1 or IgM indicates a Secondary Dengue Infection—meaning you contracted a different serotype of the Dengue virus than the one you had in the past. Identifying a secondary infection alerts your physician to monitor your fluid levels and cell counts closely.
Do I need to fast for 10–12 hours before providing my blood sample for this fever package?
No, fasting is entirely unnecessary for this fever panel. Viral markers, cell counts, malarial parasites, and antibody titers do not alter based on daily meals, allowing you to have your blood drawn comfortably at whichever hour fits your schedule best.
What exactly is the Widal test included in this package, and how does it identify Typhoid?
The Widal test is a serological check designed to detect specific agglutinin antibodies (Anti-O and Anti-H) built by your immune system against Salmonella enterica Typhi—the bacterium responsible for typhoid fever. Mixing your serum with test antigens on a glass slide causes visible clumping (agglutination) if these antibodies are present.
How does the laboratory search for Malarial Parasites under the microscope?
A trained technician prepares thick and thin blood smears from your EDTA sample and stains them with Giemsa dye. The thick smear acts like a wide net to catch low numbers of parasites, while the thin smear allows the pathologist to inspect individual red blood cells under high magnification to identify the specific Plasmodium species (vivax or falciparum).
What is the clinical difference between Erythrocyte Sedimentation Rate (ESR) and C-Reactive Protein (CRP)?
Both measure systemic inflammation, but on different timelines. CRP is an acute-phase protein manufactured by the liver that surges within 6 to 8 hours of an infection and drops quickly once treatment works. ESR measures how fast red blood cells settle over one hour; it rises more slowly and can remain elevated for weeks after an infection clears.
What are the primary physical warning signs that suggest a Dengue patient needs immediate emergency care?
Warning signs include severe, continuous abdominal pain, persistent vomiting, bleeding from the gums or nose, black or tarry stools, sudden extreme lethargy or restlessness, and difficulty breathing. These signs indicate potential fluid leakage or significant platelet drops that require immediate clinical attention.
Can taking a common fever tablet (like Paracetamol) right before the test warp my lab results?
No. Paracetamol lowers your physical body temperature by acting on the brain's thermal controls, but it does not erase circulating viral proteins (NS1), clear malarial parasites, or alter white blood cell counts inside the collection tube, keeping your laboratory report accurate.
What does a "Positive CRP" or elevated quantitative CRP score signify on my report?
An elevated quantitative CRP score (e.g., above 6 to 10 mg/L) provides clear, objective proof that your body's immune system is actively fighting tissue inflammation or infection. Higher CRP numbers (such as > 50 to 100 mg/L) strongly point toward an active bacterial process, helping guide your doctor's decision on treatment plans.
Why does the package require two different blood collection tubes (Purple-top and Red/Gold-top)?
The purple-top EDTA tube contains an anticoagulant that keeps whole blood fluid and prevents clotting, which is mandatory for counting whole blood cells (CBC), running ESR, and preparing microscopic slides. The red or gold-top tube allows the blood to clot naturally so the lab can harvest clear serum for CRP, Widal, and Dengue rapid testing.
Can a person contract Dengue fever multiple times across their lifetime?
Yes. There are four distinct serotypes of the Dengue virus (DENV-1, DENV-2, DENV-3, and DENV-4). Contracting one serotype provides lifelong immunity against that specific strain, but only temporary, partial immunity against the other three, meaning a person can contract Dengue again from a different serotype.
What does it mean if all 35 parameters return completely normal while I still feel unwell?
A completely normal report confirms that there are no major cell shifts, acute inflammatory spikes, active malarial parasites, high typhoid antibodies, or positive Dengue markers in your blood right now. It provides a reassuring baseline that rules out these common acute tropical infections, prompting your doctor to evaluate early localized viral colds or non-infectious causes.
Is this comprehensive fever check-up package safe and standard for young children and elderly individuals?
Yes, completely safe and standard. It requires a routine, non-invasive venous blood draw that takes only a minute and carries zero physical risk, providing a safe diagnostic safety shield across all age groups and febrile timelines.
Can drinking plenty of water before the blood draw dilute my blood cell counts or Dengue markers?
No. Drinking plain water hydrates your blood vessels and restores healthy fluid balance, making vein collection easier without diluting your cell percentages, viral antigens, or antibody titers under the automated testing lamps.
What is the standard immediate medical approach if my fever package returns positive for Dengue?
Finding a positive Dengue result outlines a clear, actionable path forward. Your physician will review your Dengue stage (NS1 vs. IgM/IgG), check your active platelet count and Hematocrit (PCV) levels, emphasize proper oral hydration, and set up a structured monitoring plan to track your recovery smoothly.
How can our family securely access and download our final 6-hour digital PDF report file?
As soon as your multi-parametric fever analysis is completed, verified, and signed off by our laboratory pathology team, your secure digital report can be downloaded instantly from www.drpatholab.in using your registered patient or clinic credentials.
Are my personal health records, febrile profiles, and laboratory data assets kept private?
Absolutely. We enforce strict medical privacy frameworks, secure sample identity logging protocols, and fully encrypted data channels across our entire digital infrastructure to guarantee your entire diagnostic profile remains completely private, confidential, and secure.
Test Description
Test Code
PF2,D13
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