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Angiostrongylus costaricensis Antibody Test (Abdominal Angiostrongyliasis Blood Test)

Published: August 9, 2026Updated: August 10, 2026

A blood test that detects antibodies to a parasitic worm (Angiostrongylus costaricensis) that can infect the intestines.

Quick summary

{"This test checks if your body has produced antibodies against Angiostrongylus costaricensis parasite","Infection is usually acquired by eating contaminated food, water, or undercooked snails/slugs","Common symptoms include abdominal pain, fever, and diarrhea","The test is performed on a blood serum sample","Results are reported as 'Present' or 'Not Detected'"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 10, 2026Editorial policy

Key facts at a glance

LOINC
43093-4
Short code
ANGCO_AB
Synonyms
A costaricensis Ab Ser Ql
Category
chemistry
Sample
serum
Container
SST (Serum Separator Tube) or red top tube
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
Enzyme-Linked Immunosorbent Assay (ELISA)
CPT
86682
SNOMED
371949004
Specimen volume
1.0-2.0 mL serum minimum
Stability
Room temperature: 8 hours; Refrigerated (2-8°C): 72 hours; Frozen (-20°C or below): 30 days
Hemolysis max
50
Lipemia max
300
Icterus max
20
TAT
72–168 hours
Order
routine

This test checks a sample of your blood for antibodies against Angiostrongylus costaricensis, a parasitic worm that infect the abdomen. It helps your doctor find out whether symptoms such as belly pain, fever, or digestive problems are caused by abdominal angiostrongyliasis, an infection that affects the blood vessels of the intestines.

The Angiostrongylus costaricensis antibody test is a blood test that looks for antibodies in your serum (the liquid part of your blood) that your immune system produces when infected with Angiostrongylus costaricensis, a parasitic roundworm. This parasite is also known as the 'rat lungworm' and primarily affects the abdominal organs.

Angiostrongylus costaricensis is a parasitic roundworm found mainly in parts of Central and South America. People can become infected by accidentally swallowing the parasite, often through raw fruits or vegetables contaminated by snails, slugs, or their slime. Once inside the body, the worm settles in the blood vessels of the abdomen, where it can cause inflammation, pain, and swelling in the belly.

Angiostrongylus costaricensis is a parasitic nematode (roundworm) that infects rodents, especially rats. Humans can become accidental hosts by consuming: contaminated vegetables or fruits, unwashed produce, water containing parasite larvae, or undercooked snails and slugs that carry the parasite. The infection is called abdominal angiostrongyliasis or visceral larva migrans.

A health care professional will clean your skin and draw a small sample of blood from a vein, usually on the inside of your elbow or the back of your hand. The sample is sent to a laboratory, where it is examined for antibodies that your immune system produces in response to the parasite. The procedure takes only a few minutes, and you can usually return to your normal activities right afterward.

A healthcare provider will draw a small blood sample from a vein in your arm. This sample is then sent to a laboratory where technicians test it for the presence of antibodies against Angiostrongylus costaricensis. The test result will indicate whether antibodies were 'Detected' (Present) or 'Not Detected' (Absent).

A positive result means antibodies to Angiostrongylus costaricensis were found in your blood, which suggests you have been or are currently infected with the parasite. A negative result usually means no infection was detected, but antibodies may not appear early in the illness, so your doctor may recommend repeat testing. Your doctor will combine these results with your symptoms, travel history, and other findings to confirm the diagnosis and plan treatment.

If the result is 'Detected' or 'Present', it means your body has produced antibodies to fight this parasite, suggesting you may have an active or recent infection. If the result is 'Not Detected', no antibodies were found, which could mean you are not infected, or the infection is too early to detect. Your healthcare provider will interpret these results along with your symptoms and other test findings.

Reference range

Negative - No detectable IgG antibodies against Angiostrongylus costaricensisN/A

Specimen: serum

No special preparation required. Routine venipuncture. Inform laboratory of recent travel history or consumption of raw vegetables/snails.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

This test helps diagnose abdominal angiostrongyliasis, a parasitic infection that primarily occurs in Central and South America. The infection typically causes symptoms such as severe abdominal pain, fever, nausea, vomiting, diarrhea, and inflammation in the abdominal area. Early diagnosis is important for proper treatment, which usually involves anti-parasitic medications and supportive care. The test is particularly useful for patients who have traveled to endemic areas and present with unexplained abdominal symptoms.

Frequently asked questions

What are the symptoms of Angiostrongylus costaricensis infection?
Common symptoms include intense abdominal pain (especially in the right lower abdomen), fever, loss of appetite, nausea, vomiting, diarrhea, and general malaise. Some patients may also experience weight loss. The infection can sometimes mimic appendicitis or other abdominal emergencies.
How is the infection treated?
Treatment typically involves anti-helminthic (anti-parasitic) medications such as albendazole or mebendazole, along with supportive care for symptoms like pain and inflammation. In some cases, corticosteroids may be prescribed to reduce inflammation. Most patients recover well with proper treatment.
How can I prevent this infection?
Prevention includes: thoroughly washing all fruits and vegetables, ensuring food is properly cooked (especially snails and slugs), drinking safe or bottled water when traveling in endemic areas, and practicing good hand hygiene. Travelers to Central and South America should be especially careful with food and water consumption.
Where is this parasite commonly found?
Angiostrongylus costaricensis is primarily found in Central and South American countries, including Costa Rica (where it was first identified), Brazil, Panama, Ecuador, and other tropical regions. However, cases have been reported in other parts of the world due to travel and migration.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 10, 2026. · Read our editorial policy