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Rconoriiiggmsmtser

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

This blood test detects IgG antibodies against Rickettsia conorii, the bacterium that causes Mediterranean spotted fever, to help diagnose recent or past infection.

Quick summary

{"Detects IgG antibodies against Rickettsia conorii bacteria","Used to diagnose Mediterranean spotted fever (boutonneuse fever)","Blood sample is collected from a vein in your arm","Positive result indicates current or previous infection","Treatment with antibiotics is effective if started early"}

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

Key facts at a glance

LOINC
110683-0
Short code
RCON-IGG
Synonyms
R conorii IgG Msmt Ser
Category
cardiac
Sample
serum
Container
Serum separator tube (SST) or plain red top tube
Units
N/A
Ref low
1
Ref high
1.5
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
Immunofluorescence Assay (IFA) or Enzyme-Linked Immunosorbent Assay (ELISA)
CPT
86757
SNOMED
122442009
Specimen volume
1.0-2.0 mL of serum
Stability
Room temperature: 24-48 hours; Refrigerated (2-8°C): 5-7 days; Frozen (-20°C or below): 30 days
Hemolysis max
50
Lipemia max
300
Icterus max
40
TAT
48–168 hours
Order
routine

What is this test?

The Rickettsia conorii IgG Antibody test is a blood test that measures the presence of IgG (immunoglobulin G) antibodies against Rickettsia conorii bacteria in your blood. Rickettsia conorii is the causative agent of Mediterranean spotted fever (also known as boutonneuse fever), a tick-borne disease common in the Mediterranean region, parts of Africa, and the Middle East.

Why is this test performed?

This test is performed to help diagnose Mediterranean spotted fever, especially when patients have symptoms such as fever, headache, rash (often with a dark spot at the site of the tick bite), and muscle pain. The test is particularly useful because it can confirm whether a patient has been exposed to the bacteria, which is important for starting appropriate treatment promptly.

How is the test done?

A healthcare professional will draw a small blood sample from a vein in your arm using a needle. The blood will be collected in a tube and sent to a laboratory for analysis. The test measures the level of IgG antibodies, which typically appear 7-10 days after infection and remain in the blood for months or even years.

What do the results mean?

A positive result indicates that IgG antibodies against Rickettsia conorii have been detected in your blood, suggesting a current or past infection with the bacteria. A negative result means no antibodies were detected, which could indicate no infection, very early infection (before antibodies have developed), or a very old infection where antibodies have declined. Your doctor will interpret the results along with your symptoms and medical history.

Is any preparation needed?

No special preparation is needed for this test. You can eat and drink normally before the blood draw. However, always inform your doctor about any medications or supplements you are taking, as they might affect the test results.

Reference range

Negative: <1:64 titer or <1.0 index value; Equivocal: 1:64 to 1:128 titer or 1.0-1.5 index value; Positive: >=1:128 titer or >=1.5 index valueN/A

Specimen: serum

No special preparation required. Fasting not necessary. Inform the laboratory of any recent infections or antibiotic treatments.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

How is Mediterranean spotted fever spread?
Mediterranean spotted fever is primarily spread through the bite of infected brown dog ticks (Rhipicephalus sanguineus). The tick bite usually leaves a dark, scab-like mark (eschar) at the site. The disease is more common in warm months when ticks are active.
What are the symptoms of Mediterranean spotted fever?
Symptoms typically begin 5-7 days after the tick bite and include high fever, severe headache, muscle aches, and a characteristic rash that often appears a few days after the fever starts. A dark spot (eschar) at the bite site is a key sign.
Is the test painful?
You may feel a brief pinch or mild discomfort when the needle is inserted to draw blood. This usually subsides quickly. The procedure takes only a few minutes.
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 contact you with the results or discuss them at your follow-up appointment.
Can the test distinguish between current and past infection?
IgG antibodies usually appear after the first week of infection and can remain in the blood for months to years. A single positive result indicates exposure but may not distinguish between active and past infection. Your doctor may recommend repeat testing after 2-4 weeks to check for rising antibody levels, which suggests active infection.
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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