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Leptospira IgM Antibody, Serum, Qualitative

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

This test checks your blood serum for IgM antibodies that your immune system makes against Leptospira bacteria, the cause of leptospirosis. A positive result can suggest a recent or current infection.

Quick summary

["A positive Leptospira IgM result usually means you have been exposed to Leptospira bacteria and may have a recent infection, which your clinician will interpret alongside your symptoms and history."]

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

Key facts at a glance

LOINC
23202-5
Short code
Leptospira IgM Ser Ql
Synonyms
Leptospira IgM Ser Ql
Category
coagulation
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0.8
Ref high
1.2
Critical range
— – 5 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
85610
SNOMED
396252006
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

What Is Being Tested

Leptospirosis is an infection caused by bacteria called Leptospira, often spread through contact with water or soil contaminated by animal urine. When your body fights this infection, it produces antibodies, including a type called IgM that typically appears early in the immune response. This test looks for those IgM antibodies in a sample of your serum, the clear liquid part of your blood.

Why Your Clinician May Order It

Your clinician may order this test if you have symptoms that could fit leptospirosis, such as fever, headache, muscle aches, or jaundice, especially if you have been exposed to potentially contaminated water, animals, or certain work or travel settings. It may also be used to help investigate unexplained febrile illness after relevant exposure.

How the Sample Is Collected

The test uses a blood sample, which is drawn from a vein, usually in your arm. The blood is allowed to clot and is then separated so that serum can be tested. No special preparation is usually needed, though you should follow any instructions your clinician or lab provides.

How to Understand Your Result

Results are generally reported as positive, negative, or sometimes equivocal (uncertain). A positive result suggests IgM antibodies to Leptospira are present, which may indicate recent infection. A negative result does not completely rule out infection, especially very early in illness. Because antibody tests can sometimes cross-react with other conditions, your clinician will interpret the result together with your symptoms, exposure history, and possibly other tests.

Reference range

INR: 0.8-1.2 (warfarin: 2.0-3.0)N/A

Specimen: serum

Inform your healthcare provider if you are taking blood thinners. No special preparation required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Leptospira IgM

Frequently asked questions

Does a positive result always mean I currently have leptospirosis?
Not necessarily. A positive IgM result suggests exposure to Leptospira and may reflect a recent or current infection, but it can sometimes be due to cross-reactivity or past exposure. Your clinician will interpret it with your symptoms, exposures, and other test results.
Can the test be negative even if I am infected?
Yes. Antibodies may not be detectable very early after infection, so a negative result soon after exposure does not fully exclude leptospirosis. Your clinician may repeat testing or use other tests if suspicion remains.
Do I need to fast or prepare for this test?
Fasting is usually not required for this antibody test. Follow any specific instructions from your clinician or the laboratory, and tell them about medications or conditions that might affect your immune response.
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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