
Fever Package (includes Malaria & Typhoid Tests)







The Fever Package (includes Malaria & Typhoid Tests) is a comprehensive set of blood and urine tests that helps identify the common causes of fever.This package includes tests to detect infection due to Malaria, Typhoid, suspected urine infection and indicate other seasonal Viral/ Bacterial infections that may be causing the fever. Tests like Complete blood count (CBC), Erythrocyte sedimentation rate (ESR) provide blood counts and help identify the presence of any inflammation related to your fever. Basic liver enzymes (SGOT, SGPT) help detect liver infection or inflammation. Your doctor may advise urine culture based on abnormal urine findings.













Understanding Fever Package (includes Malaria & Typhoid Tests)
The Fever Package (includes Malaria & Typhoid Tests) helps diagnose infectious diseases such as malaria and typhoid, as well as assess inflammatory markers and general health parameters through tests like complete blood count (CBC), erythrocyte sedimentation rate (ESR), serum glutamic oxaloacetic transaminase (SGOT), serum glutamate pyruvate transaminase (SGPT), and urine routine examination. Early identification of malaria and typhoid is crucial for initiating appropriate treatment and preventing severe complications or prolonged illness.
This package includes malaria parasite identification by microscopy along with Widal test (slide agglutination) for typhoid fever diagnosis. The Malarial parasite detection is by peripheral smear examination. This method detects different malaria-causing parasites and their stages and also helps monitor response to treatment. The Widal Slide agglutination test detects the presence of antibodies in patients with typhoid and paratyphoid fevers. These antibodies usually appear by the end of the first week of infection; so if negative, your doctor may repeat the test after 1 week for confirmation, in patients with high suspicion of the disease. It is considered positive if high levels of antibodies are found or if levels increase in two blood samples taken at different times. This package also contains urine routine examinations which can help your doctor diagnose a urine infection and he may then advise a urine culture.
The fever package is usually advised for individuals presenting with symptoms such as fever, chills, body aches, general weakness, irritability, and other symptoms suggestive of infectious or inflammatory conditions. This package may also be useful for individuals with a recent history of travel to areas endemic for malaria or typhoid or those with known exposure to these diseases.
Overnight fasting is preferred for this package but is not mandatory. A urine sample should be collected into a sterile container provided by the sample collection professional. Women are advised not to give the sample during the menstrual period unless prescribed, as that can interfere with certain test results. You are required to submit all the samples that are a part of this package during the sample collection itself.
Test result ranges are approximate and may differ slightly between labs depending on the methodology and laboratory guidelines. Narrate your complete medical history to help the doctor correlate your clinical and laboratory findings. The test results will help the doctor formulate an overall treatment plan.
What does Fever Package (includes Malaria & Typhoid Tests) measure?
Contains 45 testsThe Fever Package (includes Malaria & Typhoid Tests) is tailored to help detect the potential cause of your fever. This package includes malarial parasite identification by microscopy, Widal test(slide agglutination) , ESR (erythrocyte sedimentation rate) test, (CBC) complete blood count test, SGOT (serum glutamic oxaloacetic transaminase) test, SGPT (serum glutamate pyruvate transaminase) test, and routine urine examination. These tests help find if there is any bacterial, viral, or parasitic infection or inflammation present in your body that might be causing fever. The package prompts early diagnosis and initiation of treatment before the condition develops into the next stages.
The malarial parasite can be identified by examining a blood smear slide under the microscope.
A drop of blood is spread on a slide which is called smear. It is then stained with Giemsa stain which helps by giving the malaria parasite a distinctive appearance.
The diagnosis is made by spotting out the parasite of malaria or its antigens or its products in the smear. Thick smears help to detect the presence of parasite while thin smears help to detect the type of species of parasite. Thin smears help in evaluating the presence of schizonts (stage of malarial parasite with presence of many small nuclei), gametocytes (stage of malarial parasite where it can produce more gametes), and the presence of any pigmentation due to the malarial parasite in the blood. This test is done to detect the presence of the malarial parasite in the blood. It is also used to monitor the progress of treatment with malaria. Once the treatment of malaria is started, the doctor may advise a re-test to monitor the treatment.
Know more about Malarial Parasite Identification
The Widal test measures the titres of antibody against the bacteria which cause Enteric fever.
Typhoid and paratyphoid fever are generally acquired when you consume food or water, contaminated by feces of an acutely infected or convalescent person (recovering from disease) or a chronic, asymptomatic carrier. The incubation period (the time interval between exposure to an infection and the appearance of the first symptoms) of Enteric fever is 6-30 days. Paratyphoid fever is similar but often less severe than typhoid fever.
Widal test is an agglutination test to detect antibodies (agglutinins) in a blood sample against two antigens (O & H) of bacteria, Salmonella enterica. Agglutination refers to the visible clumping of particles when a particulate antigen combines with its antibody in the presence of optimum conditions for antigen-antibody reaction. When this test is performed on a slide, it is called Slide agglutination and when it is carried out in a test tube, it is called Tube agglutination. Widal test by Tube agglutination is recommended over Slide agglutination method. The antigens used in the test are “H” and “O” antigens of Salmonella Typhi and “H” antigen of S. Paratyphi.
Widal test should only be performed after the first week. The reason being the antibody against “O” and “H” antigens of Salmonella start appearing in serum at the end of the first week of fever. It is preferable to test two blood samples at an interval of 7 to 10 days to demonstrate rising antibody titres.
Know more about Widal Test (Slide Agglutination)
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FAQs related to Fever Package (includes Malaria & Typhoid Tests)
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- Fernandez C, Beeching NJ. Pyrexia of unknown origin. Clin Med (Lond). 2018 Mar;18(2):170-174. [Accessed 25 Jun. 2024]. Available from:
- Balli S, Shumway KR, Sharan S. Physiology, Fever [Internet]. Treasure Island, Florida: StatPearls Publishing; 2023 Jan. [Accessed 25 Jun. 2024]. Available from:
- El-Radhi AS. Fever management: Evidence vs current practice. World J Clin Pediatr. 2012 Dec 8;1(4):29-33. [Accessed 25 Jun. 2024]. Available from:
- Balli S, Shumway KR, Sharan S. Physiology, Fever. [Updated 2023 Sep 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from:
- El-Radhi AS. Fever in Common Infectious Diseases. Clinical Manual of Fever in Children. 2019 Jan 2:85–140. [Accessed 25 Jun. 2024]. Available from:
- Wrotek S, LeGrand EK, Dzialuk A, Alcock J. Let fever do its job: The meaning of fever in the pandemic era. Evol Med Public Health. 2020 Nov 23;9(1):26-35.
- Fever [Internet]. Healthdirect; Feb. 2022 [Accessed 25 Jun. 2024]. Available from:
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