Rickettsia – Serology
|Test Requested||Required Requisition(s)||Specimen Type||Minimum Volume||Collection Kit|
Rickettsia serology, or Murine typhus, or M typhus, or Rocky Mountain spotted fever, or RMSF
5.0 ml whole blood or 1.0 ml serum
Vacutainer tubes (SST)
Submission and Collection Notes
Timing of Specimen Collection
An acute (collected early after the onset of symptoms) and a convalescent (collected 2-3 weeks later) may be required for laboratory diagnosis.
Haemolysed, icteric, lipemic or microbially contaminated sera or plasma are not recommended for testing.
Preparation Prior to Transport
Centrifuge if using SST. Label specimens with at least two identifiers; place it in biohazard bag and seal. Specimens should be stored at 2-8°C following collection and shipped to PHL on ice packs.
An acute (collected early after the onset of symptoms) and a convalescent (collected 2-4 weeks later) is highly recommended for laboratory based diagnosis of rickettsial infection.
Test Frequency and Turnaround Time (TAT)
Rickettsia serology testing is performed once per week.
Turnaround time is up to 10 days.
Results are reported to the ordering physician or health care provider as indicated on the requisition.
Rickettsia IgG serology assays are performed using Indirect Immunofluorescence Assay (IFA) for Rocky Mountain Spotted Fever and Murine typhus.
Antibody reactivity to the R.rickettsii antigen should be considered positive for the Rocky Mountain Spotted Fever group, whereas antibody reactivity to the R.typhi antigen should be considered positive for Typhus Fever group.