A fever is a temporary rise in body temperature. It's one part of an overall response from the body's immune system. A fever is usually caused by an infection.Body temperatures vary slightly from person to person and at different times of day. The average temperature has traditionally been defined as 98.6 F (37 C). A temperature taken using a mouth thermometer (oral temperature) that's 100 F (37.8 C) or higher is generally considered to be a fever.
The fever panel consists of different tests that help to identify the causes of fever.
A basic fever panel typically includes tests to evaluate for common causes of fever. Here are the normal ranges for some of the tests commonly included in a fever panel:
Complete Blood Count (CBC):
White Blood Cell Count (WBC):
Normal: 4,500 to 10,000 cells per microliter (cells/mcL)
Differential White Blood Cell Count:
Neutrophils: 40% to 60%
Lymphocytes: 20% to 40%
Monocytes: 2% to 8%
Eosinophils: 1% to 4%
Basophils: 0.5% to 1%
C-Reactive Protein (CRP):
Normal: Less than 10 milligrams per liter (mg/L)
Erythrocyte Sedimentation Rate (ESR):
Normal: Less than 20 millimeters per hour (mm/hr)
Liver Function Tests:
Alanine Aminotransferase (ALT):
Normal: 7 to 56 units per liter (U/L)
Aspartate Aminotransferase (AST):
Normal: 8 to 48 U/L
Alkaline Phosphatase (ALP):
Normal: 45 to 115 U/L
Bilirubin:
Normal: 0.1 to 1.2 milligrams per deciliter (mg/dL)
Kidney Function Tests:
Serum Creatinine:
Normal: 0.6 to 1.3 milligrams per deciliter (mg/dL)
Urinalysis:
Normal: No abnormal findings (e.g., protein, blood, glucose, ketones)
These tests help to assess for infections, inflammatory conditions, and organ dysfunction that may be causing fever. It's important to interpret the results in the context of the individual's symptoms, medical history, and other clinical findings. Always consult with a healthcare professional for interpretation of test results and appropriate management of fever or underlying conditions.
Test result interpretation
A "Fever Panel (Basic)" typically refers to a set of laboratory tests ordered to investigate the cause of fever and related symptoms. Interpretation of a fever panel involves analyzing the results of various blood tests to identify potential infections or other underlying medical conditions contributing to the fever. Here are common components of a basic fever panel and their interpretation:
Complete Blood Count (CBC):
The CBC provides information about different types of blood cells, including red blood cells, white blood cells, and platelets.
Interpretation:
Elevated white blood cell count (leukocytosis) with a left shift (increased immature forms) may suggest a bacterial infection.
A decreased white blood cell count (leukopenia) may indicate a viral infection or bone marrow suppression.
Anemia (low red blood cell count or hemoglobin) may be present in chronic infections or inflammatory conditions.
Differential White Blood Cell Count (Diff):
The differential white blood cell count measures the percentages of different types of white blood cells.
Interpretation:
Increased neutrophils (neutrophilia) may suggest bacterial infection.
Increased lymphocytes (lymphocytosis) may indicate viral infection or other immune responses.
Increased eosinophils (eosinophilia) may suggest parasitic infections or allergic reactions.
C-Reactive Protein (CRP):
CRP is a marker of inflammation that increases in response to various inflammatory conditions, including infections.
Interpretation:
Elevated CRP levels suggest the presence of inflammation, which may support the diagnosis of an infectious or inflammatory condition.
Erythrocyte Sedimentation Rate (ESR):
ESR measures the rate at which red blood cells settle in a tube of blood over time, which increases with inflammation.
Interpretation:
Elevated ESR levels indicate the presence of inflammation, which may support the diagnosis of an infectious or inflammatory condition.
Blood Cultures:
Blood cultures detect the presence of bacteria or fungi in the bloodstream, helping to identify the causative organism of a bloodstream infection.
Interpretation:
Positive blood culture results indicate the presence of bacteria or fungi in the bloodstream, guiding antibiotic selection for targeted treatment.
Additional Tests:
Depending on the clinical presentation and suspected underlying cause of fever, additional tests such as urinalysis, chest X-ray, throat swab for culture, or serological tests for specific pathogens (e.g., influenza, dengue) may be included.
Interpretation of a fever panel should be done by healthcare providers familiar with infectious diseases and laboratory medicine. The results should be interpreted in conjunction with the patient's clinical history, physical examination findings, and other diagnostic tests to determine the underlying cause of fever and guide appropriate treatment.