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Bburgdorspecqlcult

Published: August 9, 2026Updated: August 16, 2026

This test detects the presence of Borrelia burgdorferi bacteria in your blood through special culture methods to diagnose Lyme disease.

Quick summary

{"This test checks if you have been infected with Borrelia burgdorferi, the bacterium that causes Lyme disease","A blood sample (serum) is needed for this test","Early detection helps with timely treatment and better outcomes","A positive result confirms Lyme disease infection","The test may need to be repeated if initial results are negative but symptoms persist"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
11550-1
Short code
BORRC
Synonyms
B burgdor Spec Ql Cult
Category
chemistry
Sample
serum
Container
Sterile, leak-proof container without preservatives; specific borrelia culture transport medium preferred
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
organism-specific-culture
CPT
87081
SNOMED
39710007
Specimen volume
1-5 mL of fluid or tissue; minimum 0.5 mL for synovial fluid or CSF; tissue biopsies should be at least 2-3 mm in size
Stability
Transport to laboratory within 2 hours at room temperature; if delay anticipated, refrigerate at 2-8°C for up to 24 hours; do not freeze
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
336–1344 hours
Order
routine

What is this test?

The Borrelia burgdorferi culture test is a laboratory test that detects the presence of Borrelia burgdorferi bacteria in your blood. This bacterium is the primary cause of Lyme disease in North America and Europe. The test uses special culture methods to grow and identify the bacteria from your serum sample.

Why is this test performed?

This test is performed when you have symptoms suggestive of Lyme disease, especially if you have been exposed to tick habitats or have a known tick bite. Early symptoms may include a characteristic bull's-eye rash (erythema migrans), fever, headache, and fatigue. The test helps confirm whether your symptoms are due to Lyme disease or another condition.

How is the test done?

A healthcare professional will draw a blood sample from a vein in your arm. The blood is collected in a special tube and sent to a laboratory where technicians attempt to grow Borrelia burgdorferi bacteria from the serum. This process can take several weeks as the bacteria grow slowly.

What do the results mean?

A positive result means that Borrelia burgdorferi bacteria were detected in your blood, confirming that you have Lyme disease. A negative result does not completely rule out Lyme disease, especially in early stages when bacteria levels may be too low to detect. Your doctor may recommend repeat testing or additional tests if Lyme disease is still suspected.

Reference range

Negative: No Borrelia burgdorferi isolated. Positive: Borrelia burgdorferi isolated by culture.N/A

Specimen: serum

No fasting required. Specimen should be collected prior to initiation of antibiotic therapy when possible, as antibiotics can inhibit organism growth in culture.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

Do I need to fast before this test?
No, you do not need to fast before this test. You can eat and drink normally before having your blood drawn.
How long does it take to get results?
Unlike standard blood tests, Borrelia burgdorferi culture results may take 2-6 weeks because the bacteria grow slowly in the laboratory. This is longer than most other blood tests.
Is the test painful?
You may feel a brief pinch or mild discomfort when the blood sample is taken. This usually lasts only a few seconds. Some people may have minor bruising at the needle site afterward.
Can this test detect all types of Lyme disease?
This test specifically detects Borrelia burgdorferi, which is the main cause of Lyme disease in North America. In Europe, other Borrelia species can also cause Lyme disease-like illnesses, and this culture method may not detect all of them.
What happens if my test is positive?
If your test is positive, your healthcare provider will prescribe antibiotics to treat the infection. Most patients respond well to antibiotic treatment, especially when started early. It's important to complete the full course of antibiotics as prescribed.
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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 16, 2026. · Read our editorial policy