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Measles (Rubeola) Antibody Test, IgG and IgM

Published: August 9, 2026Updated: August 14, 2026

This blood test detects antibodies against Rickettsia conorii bacteria, which causes Mediterranean spotted fever, to help diagnose current or past infection.

Quick summary

{"The test measures IgM (early infection) and IgG (past/ongoing infection) antibodies in your blood","Rickettsia conorii is transmitted through tick bites, typically from dogs","Results help doctors confirm whether you have an active infection or have been previously exposed","A positive IgM suggests recent infection, while positive IgG indicates past exposure or immunity","Early treatment with antibiotics is important if Mediterranean spotted fever is suspected"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 14, 2026Editorial policy

Key facts at a glance

LOINC
100895-2
Short code
RICKCON
Synonyms
R conorii IgG+IgM Ser-Imp
Category
cardiac
Sample
serum
Container
Serum separator tube (SST) or red top vacuum tube
Units
N/A
Ref low
100
Ref high
1
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
Enzyme-linked immunosorbent assay (ELISA)
CPT
86757
SNOMED
40930008
Specimen volume
3-5 mL of venous blood
Stability
Room temperature: 8 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C or below): 30 days. Avoid repeated freeze-thaw cycles.
Hemolysis max
50
Lipemia max
100
Icterus max
20
TAT
24–72 hours
Order
routine

This test measures antibodies in your blood that your immune system makes in response to the measles virus. It helps determine whether you are immune to measles, have been vaccinated, or have a current or recent infection. Your doctor may order it if you have symptoms of measles, were exposed to someone with the disease, or need proof of immunity for work, school, or travel.

The Rickettsia conorii IgG and IgM test is a blood test that detects antibodies your immune system produces in response to Rickettsia conorii bacteria. This bacterium causes Mediterranean spotted fever (also known as boutonneuse fever), a disease transmitted through tick bites, particularly from dogs.

IgG and IgM are two types of antibodies, which are proteins your immune system produces to fight infections. IgM antibodies usually appear first, within a few days of infection, and suggest a recent or current measles infection. IgG antibodies develop later and stay in your body for years, showing that you are protected either from a past infection or from vaccination.

IgM antibodies are the first type your body produces when fighting a new infection. They typically appear within 1-2 weeks after being bitten by an infected tick and indicate a recent or current infection. IgG antibodies develop later, usually within 2-4 weeks after infection, and can remain in your blood for years, indicating past exposure or immunity to the disease.

The test is performed with a simple blood draw. A healthcare professional will clean your skin, place a band around your upper arm, and collect a small sample of blood from a vein, usually in your arm. The procedure takes only a few minutes, and you may feel a quick sting. Afterward, a small bandage is applied, and you can go about your normal activities.

A healthcare professional will draw a small blood sample from a vein in your arm. The sample is then sent to a laboratory where it is analyzed to detect the presence and levels of IgG and IgM antibodies against Rickettsia conorii.

A positive IgM result with or without IgG usually suggests a recent or active measles infection, and your doctor may recommend isolation and supportive care. A positive IgG result alone typically means you are immune to measles, either from past infection or vaccination. Negative results for both antibodies suggest you are not immune and may be at risk of infection if exposed. Your doctor will interpret your results together with your symptoms, vaccination history, and any known exposure.

Results are typically reported as positive or negative for IgG and IgM antibodies. A positive IgM result suggests you have a recent or active Mediterranean spotted fever infection. A positive IgG result indicates you have been exposed to the bacteria in the past. Both IgG and IgM positive may indicate an active infection. Negative results mean no antibodies were detected, but this could also mean the infection is too early to detect—your doctor may recommend repeat testing if symptoms persist.

Reference range

Negative: <1:100; Equivocal: 1:100-1:200; Positive: >1:200. IgG and IgM interpreted separately with clinical correlation.N/A

Specimen: serum

No fasting required. No special preparation needed. Inform physician of any recent antibiotic therapy, immunosuppressive medications, or known immunodeficiencies.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Mediterranean spotted fever caused by Rickettsia conorii is characterized by fever, headache, rash (often including a dark spot at the tick bite site), and muscle pain. The disease is typically found in Mediterranean regions, Africa, and parts of Asia and Europe. If left untreated, it can lead to serious complications affecting the heart, brain, and other organs. This test helps confirm the diagnosis so appropriate antibiotic treatment can begin promptly. The test is particularly important because symptoms can resemble other illnesses, and early accurate diagnosis leads to better outcomes.

Frequently asked questions

Do I need to fast before this test?
No, fasting is not required for this blood test. You can eat and drink normally before the test.
How long does it take to get results?
Results are typically available within a few days to a week, depending on the laboratory. Your healthcare provider will inform you when results are ready.
Is the test safe?
Yes, the test involves a routine blood draw, which is generally safe. You may experience minor bruising or soreness at the puncture site.
What happens if my test is positive?
If your test is positive, your doctor will discuss treatment options with you. Mediterranean spotted fever is typically treated with antibiotics such as doxycycline, which is most effective when started early.
Can I have antibodies without having active disease?
Yes, a positive IgG result may indicate past exposure to the bacteria, which could mean you have developed immunity. Your doctor will interpret the results in context of your symptoms and medical history.
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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 14, 2026. · Read our editorial policy