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Coccidioides antibody serologic test (serum/plasma)

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

This blood test detects antibodies to *Coccidioides* fungi, which can cause infections called coccidioidomycosis (valley fever). It helps diagnose or rule out exposure to this fungus.

Quick summary

["This test checks for immune response to a fungal infection that may require medical evaluation."]

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

Key facts at a glance

LOINC
43224-5
Short code
Coccidioides Ab Ser CF-aCnc
Synonyms
Coccidioides Ab Ser CF-aCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
comp-fix
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why Is This Test Done?

Your healthcare provider may order this test if you have symptoms like fever, cough, chest pain, or fatigue—especially if you live in or traveled to an area with high risk for *Coccidioides* exposure (e.g., parts of the southwestern U.S., Central/South America). It may also be used to monitor treatment or assess exposure in high-risk individuals (e.g., immunocompromised patients).

What Does a Positive Result Mean?

A positive result suggests your immune system has detected *Coccidioides* antibodies, indicating past or current infection. However, antibodies can remain detectable for years, even after symptoms resolve. This does not always mean active disease is present—further testing or clinical correlation may be needed to determine severity or need for treatment.

What Does a Negative Result Mean?

A negative result means your blood did not show detectable antibodies to *Coccidioides* at the time of testing. This could mean you have never been exposed or that exposure occurred recently (antibodies may take weeks to develop). It does not rule out possible infection if symptoms persist.

How Is This Test Performed?

A blood sample is drawn from a vein in your arm. The serum or plasma is then tested for antibodies using an immunoassay method to detect the presence of these immune markers.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Coccidioides antibody screening/confirmation

Frequently asked questions

This test is primarily used for screening or confirming exposure to *Coccidioides* fungi, which can cause mild to severe respiratory or systemic infections. Early detection may guide treatment decisions, especially for high-risk patients. However, symptoms alone should not rely solely on this test for diagnosis—your healthcare provider will consider symptoms, medical history, and other factors.
This test does not distinguish between past exposure and active infection. If symptoms persist or worsen, additional testing (e.g., imaging, culture) may be recommended to assess disease progression.
Antibodies may remain detectable for months or years after infection resolves. This does not always indicate ongoing disease, but follow-up testing may be advised if symptoms recur or if you have an immunocompromised condition.
The test uses a blood sample, so it is generally safe but may cause mild discomfort at the injection site. Rarely, complications like bruising or infection can occur. Avoid alcohol before testing to ensure accurate results.
No special preparation is needed, but inform your provider about any medications, allergies, or recent illnesses that could affect results.
If you have a history of *Coccidioides* exposure or symptoms, discuss results with your provider to determine next steps, such as further testing or treatment options.
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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