Complete Blood Count (CBC) Test
This test detects the presence of Bacillus anthracis (anthrax) bacteria DNA in blood using advanced molecular methods when a blood culture shows suspicious growth.
{"Detects anthrax bacteria DNA in blood samples","Used when initial blood culture shows possible Bacillus growth","Results help confirm or rule out anthrax infection","Performed using Nucleic Acid Amplification (NAA) technology","Positive result requires immediate medical attention"}
Key facts at a glance
- LOINC
- 101370-5
- Short code
- ANTHpXO2
- Synonyms
- B anthracis plsmd pXO2 DNA Bld Pos Ql
- Category
- chemistry
- Sample
- whole-blood
- Container
- Sterile blood culture bottle (aerobic and/or anaerobic) flagged positive by continuous-monitoring blood culture instrument
- Units
- N/A
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 0–120 years
- Method
- non-probe-amp-tar
- CPT
- 87798
- SNOMED
- 1089521000119102
- Specimen volume
- Positive blood culture broth aliquot (typically 0.5-1 mL drawn aseptically from the positive blood culture bottle)
- Stability
- Test should be performed as soon as possible after the blood culture flags positive. If testing is delayed, store at 2-8°C for up to 24 hours or freeze at -70°C for longer preservation; avoid repeated freeze-thaw cycles
- Hemolysis max
- 0
- Lipemia max
- 0
- Icterus max
- 0
- TAT
- 4–24 hours
- Order
- routine
The Complete Blood Count (CBC) is a common blood test that measures the different cells circulating in your blood, including red blood cells, white blood cells, and platelets, to help evaluate your overall health.
The Bacillus anthracis pXO2 DNA test is a specialized molecular test that detects the presence of DNA from Bacillus anthracis, the bacteria that causes anthrax. This test specifically looks for the pXO2 plasmid, which is one of two key genetic elements (plasmids) that the anthrax bacteria need to cause disease. The test is performed using Nucleic Acid Amplification (NAA) technology, which can detect even small amounts of bacterial DNA with high accuracy.
Your doctor may order this test as part of a routine checkup, to investigate symptoms such as fatigue, weakness, fever, or unusual bruising, to help diagnose conditions like anemia or infection, or to monitor how a treatment is working over time.
This test is ordered when a blood culture (a test to detect bacteria in the blood) has already shown growth of organisms that may be Bacillus anthracis. Not all Bacillus bacteria cause anthrax—some are harmless environmental bacteria. This confirmatory test helps determine whether the bacteria found in the blood culture is actually the dangerous anthrax bacterium.
The test is performed by drawing a small sample of blood from a vein, usually in your arm. A healthcare professional cleans the site, inserts a thin needle, and collects the sample into a tube, which typically takes only a few minutes.
A healthcare provider collects a blood sample from a vein in your arm. The sample is then sent to a laboratory where technicians use specialized molecular techniques to detect the specific pXO2 DNA sequence unique to Bacillus anthracis. The test does not require probe detection and uses nucleic acid amplification methods to identify the bacterial genetic material.
Results show whether your blood cell counts fall within normal ranges. Values that are too high or too low can point to conditions such as infection, anemia, inflammation, or clotting problems, and your doctor will interpret them together with your symptoms and medical history.
A 'Positive' result means that Bacillus anthracis DNA was detected in your blood sample, which confirms an anthrax infection. This is a serious finding that requires immediate medical treatment. A 'Negative' result means that no anthrax bacteria DNA was detected, suggesting the bacteria found in the initial culture is not anthrax. Your healthcare provider will interpret these results in context with your symptoms and other test findings.
Reference range
Negative (Bacillus anthracis pXO2 plasmid DNA not detected)N/A
No special patient preparation required. Testing is performed on an existing positive blood culture specimen; no additional venipuncture is typically needed for this confirmatory assay.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
This test is critical for confirming anthrax infection, a serious and potentially life-threatening disease. Anthrax can occur in three main forms: cutaneous (skin), inhalational (lungs), and gastrointestinal (digestive system). Early detection through molecular testing allows for prompt antibiotic treatment, which is essential for survival, especially in inhalational anthrax. The pXO2 plasmid is essential for the bacteria's survival in the blood and immune system evasion, making its detection highly specific for pathogenic Bacillus anthracis.
Clinical significance also includes public health implications, as anthrax is considered a potential bioterrorism agent. Confirmed cases must be reported to public health authorities. This test helps differentiate true anthrax infections from other Bacillus species that may contaminate samples or cause opportunistic infections, particularly in immunocompromised patients.
Frequently asked questions
Is anthrax contagious from person to person?
How long does it take to get results?
What are the symptoms of anthrax?
Who is at risk for anthrax?
What happens if my test is positive?
Sources
- 1CDC - AnthraxSource
- 2Mayo Clinic - AnthraxSource
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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 16, 2026. · Read our editorial policy