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Legionella Antigen Detection (Serum/Plasma)

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

This test measures antibodies in your blood that may indicate a recent infection with *Legionella*, a type of bacteria found in water systems that can cause severe lung illness (Legionnaires’ disease).

Quick summary

["Detects early signs of Legionnaires’ disease through antibody presence in serum/plasma."]

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

Key facts at a glance

LOINC
110171-6
Short code
Legionella IgM Msmt Ser
Synonyms
Legionella IgM Msmt Ser
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
82784
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 This Test Matters

Legionnaires’ disease is a serious respiratory infection that can be life-threatening if untreated. While Legionella bacteria are common in water systems, symptoms like fever, cough, and shortness of breath can mimic other illnesses. This test helps doctors confirm a recent infection by identifying IgM antibodies, which appear shortly after exposure but fade over time.

What to Expect Before the Test

No special preparation is needed. You’ll provide a blood sample (usually drawn from your arm) in a serum or plasma tube. The sample is then sent to a lab for antibody detection using an immunoassay method.

What the Results Mean

A positive result suggests recent Legionella exposure and may indicate an active infection, though other causes of symptoms (like pneumonia from other bacteria or viruses) can’t be ruled out. A negative result means no detectable IgM antibodies at this time, but infection could still be present if symptoms persist.

When You Might Need This Test

Your doctor may order this test if you have symptoms like fever, cough, or chest pain—especially if you’ve traveled to areas with contaminated water, lived in a building with plumbing issues, or been in close contact with someone who has Legionnaires’ disease.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Legionella IgM Antibody Test

Frequently asked questions

Could my symptoms be from Legionnaires’ disease?
While a positive IgM test supports a recent Legionella infection, symptoms can also stem from other causes like pneumonia from viruses, bacteria, or even allergies. Your doctor will consider your medical history, symptoms, and other test results before diagnosing.
What if my test is positive?
A positive result means you may have had Legionella exposure recently. Your doctor will likely order additional tests (like urine antigen tests or cultures) to confirm the diagnosis and guide treatment. Antibiotics are typically prescribed if Legionnaires’ disease is confirmed.
How long until my IgM antibodies disappear?
IgM antibodies typically fade within weeks to months after infection. If symptoms persist, your doctor may repeat testing or investigate other causes. Long-term immunity isn’t guaranteed, so follow-up care is important if you’ve had exposure to Legionella.
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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