Low white blood cell count usually does not cause any symptoms. If the WBC count is low enough, infection can develop, which can cause fever, aches and pains and other signs of infection. Leukopenia can be diagnosed with a simple WBC count test or the more comprehensive complete blood count (CBC). The WBC count determines the total number of white blood cells in a blood sample. The CBC determines the total white blood count, but also determines how many of each type of white blood cell are present.