What blood test shows fighting infection?
A blood differential test shows the amount of each type of white blood cell, such as neutrophils or lymphocytes. Neutrophils mostly target bacterial infections. Lymphocytes mostly target viral infections. A higher than normal amount of neutrophils is known as neutrophilia.
What is it used for? A complete blood count is a common blood test that is often part of a routine checkup. Complete blood counts can help detect a variety of disorders including infections, anemia, diseases of the immune system, and blood cancers.
When you get sick, your white blood cell count is higher than normal. This is because your body is releasing more of these cells to fight the infection. But if you have certain illnesses like HIV or cancer, your white blood cell count can drop to very low levels.
A typical routine blood test is the complete blood count, also called CBC, to count your red and white blood cells as well as measure your hemoglobin levels and other blood components. This test can uncover anemia, infection, and even cancer of the blood.
“Typically, in bacterial infections we will see an increase in the white blood cell count (leukocytosis) whereas in viral infections there will be a decrease (leukopenia). Blood test results are considered along with the patient's symptoms and symptom severity to make a diagnosis.”
Leukocytosis means you have a high white blood cell count. This means you have more white blood cells than normal. Leukocytosis is a normal immune response and isn't always a cause for concern. Most of the time, it means that your body is fighting off infection or inflammation.
Neutrophils. They kill and digest bacteria and fungi. They are the most numerous type of white blood cell and your first line of defense when infection strikes.
White blood cells are immune system cells. They are like warriors waiting in your blood stream to attack invaders such as bacteria and viruses. When fighting an infection, your body produces more white blood cells.
The three most commonly used inflammatory markers are called C-reactive protein (CRP), erythrocyte sedimentation rate (ESR) and plasma viscosity (PV).
C reactive protein (CRP), complete blood count (CBC), and procalcitonin (PCT) are the most widely used diagnostic biomarkers in clinical practice, despite their limitations in sensitivity and specificity 19,20.
Will CBC show bacterial infection?
In summary, the CBC cannot be used in isolation to differentiate bacterial from viral illness. The CBC can, however, augment clinical data from the history and physical examination to predict the likelihood of serious bacterial illness.
In general, for adults a count of more than 11,000 white blood cells in a microliter of blood is considered high.

Normal or not? Normally the total WBC count for an adult ranges from 5,000 to 10,000/mm 3. Leukocytosis (WBC > 10,000/mm 3) can indicate infection, inflammation (possibly from allergies), tissue damage or burns, dehydration, thyroid storm, leukemia, stress, or steroid use.
- Symptoms persist longer than the expected 10-14 days a virus tends to last.
- Fever is higher than one might typically expect from a virus.
- Fever gets worse a few days into the illness rather than improving.
Lymphocytes
are the white blood cells responsible for acquired (specific) immunity, including producing antibodies (by B cells), distinguishing self from nonself (by T cells), and killing infected cells and cancer cells (by killer T cells).
Neutrophils are the first WBC population to arrive and affect the host inflammatory response during exercise and soft tissue injury ( Table).
- Fever (this is sometimes the only sign of an infection).
- Chills and sweats.
- Change in cough or a new cough.
- Sore throat or new mouth sore.
- Shortness of breath.
- Nasal congestion.
- Stiff neck.
- Burning or pain with urination.
They can engulf the 'foreign' cell and digest them. This is called phagocytosis. They can produce antitoxins - antitoxins counteract the toxins that invading bacteria may produce. They produce antibodies - this is a bit more complicated… so we'll talk about that now!
Based on the nature of the infection, it takes the body up to 5 to 25 days for the white blood cell count to return to normal.
Drugs that may decrease WBC counts include antibiotics, anticonvulsants, antihistamine, antithyroid drugs, arsenicals, barbiturates, chemotherapeutic agents, diuretics and sulfonamides.
Does low WBC mean weak immune system?
If you have fewer than normal white blood cells, you have a higher risk of getting an infection. When you have a low white blood cell count, your immune system isn't working as well as it should. Doctors call this immunocompromised.
A truly low white blood cell count also puts you at higher risk for infections — typically bacterial infections. But viral infections also may be a concern. To help reduce your infection risk, your doctor may suggest you wear a face mask and avoid anyone with a cold or other illness.
It's possible for some people to have white blood cell counts that are lower than what's usually expected and still be healthy. For instance, Black people tend to have lower counts than white people do.
In a person with normally functioning bone marrow, the numbers of white blood cells can double within hours if needed. An increase in the number of circulating leukocytes is rarely due to an increase in all five types of leukocytes. When this occurs, it is most often due to dehydration and hemoconcentration.
Fluctuation of WBC count during the 4-hour interval is linked to changes in neutrophils and lymphocytes. Neutrophil count increases from 1h after meal and peaks at 11% after 4 hours. Lymphocyte count decreases from 1h after meal, falls at 19% after 2 hours, and returns to baseline values after 4 hours.
In addition, stress decreases the body's lymphocytes — the white blood cells that help fight off infection. The lower your lymphocyte level, the more at risk you are for viruses, including the common cold and cold sores.
Some vitamins and minerals like vitamin B12 and folate play a crucial role in WBC formation. Low levels of vitamin B6, copper, and zinc may also play a role in low WBC production.
Studies have reported that vitamin D may affect the course of T1D by immunomodulation [11]. Although the mechanism of action is still unknown, serum 1,25(OH)2D levels appear to modulate the level of systemic cytokine production and to increase white blood cell (WBC) count [12, 13].
A low white blood cell count usually means your body is not making enough white blood cells. It can increase your risk of getting infections.
Symptoms that you may experience from complications (such as infection) of having a low white count include: Fatigue.
Can dehydration affect white blood count?
Yes, dehydration may cause homoconcentration which can double the white blood cells in healthy people. Though rarely but it is advised to get a retest done after being fully hydrated.
However, all these studies observed low vitamin D with low WBC count in already clinically ill subjects, and correlation does not mean causation. To date, there appear to be no studies that confirm vitamin D is a cause of low WBC count.
Symptoms of Low White Blood Cell Count
Most people with a low white blood cell count will not experience any symptoms. Typically, when white blood cell levels are abnormally low, you may be more prone to infections. Common signs of an infection are chills, sweating, and a fever over 100.5° Fahrenheit [3].