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Rickettsiasptcult

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

A laboratory test that detects Rickettsia bacteria in sputum samples to diagnose respiratory infections caused by these organisms.

Quick summary

{"This test identifies Rickettsia bacteria in mucus from your lungs/airways","It helps diagnose infections that can affect the heart and other organs","Sample is collected as sputum (coughed-up mucus) for laboratory analysis","Results help doctors determine if antibiotics are needed","Early diagnosis leads to better treatment outcomes"}

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

Key facts at a glance

LOINC
6545-8
Short code
RICK-SPUT-CULT
Synonyms
Rickettsia Spt Cult
Category
cardiac
Sample
sputum
Container
Sterile, leak-proof sputum collection container
Units
N/A
Ref low
0.8
Ref high
1.2
Critical range
— – 5 N/A
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
organism-specific-culture
CPT
87070
SNOMED
122442009
Specimen volume
2-5 mL of sputum
Stability
Process within 2 hours of collection. If delay anticipated, refrigerate at 2-8°C for up to 24 hours. Do not freeze.
TAT
72–168 hours
Order
routine

What is this test?

The Rickettsia sp identified in Sputum by Organism specific culture is a diagnostic test that looks for Rickettsia bacteria in a sample of sputum (mucus that is coughed up from the lungs and airways). This test uses special culture techniques to grow and identify the specific Rickettsia organism causing the infection.

Why might I need this test?

Your doctor may order this test if you have symptoms of a respiratory infection (such as cough, fever, difficulty breathing, or chest pain) and suspects Rickettsia as the cause. Rickettsial infections can sometimes affect the heart, which is why this test falls under the cardiac category. Common Rickettsia diseases include Rocky Mountain spotted fever, typhus, and scrub typhus, which can be transmitted through insect bites or exposure to contaminated areas.

How is the sample collected?

You will be asked to cough deeply to produce sputum from your lungs. This is usually collected in the morning before eating, as this is when the most sputum accumulates. You may be instructed to rinse your mouth with water first to avoid contamination. The sample is then placed in a sterile container and sent to a laboratory for analysis.

What do the results mean?

A positive result means Rickettsia bacteria were found in your sputum, confirming a Rickettsia infection. A negative result suggests no Rickettsia was detected, but this does not completely rule out infection—sometimes the bacteria may be present in low numbers or the sample may not contain the organism. Your doctor will interpret the results along with your symptoms and other test findings.

Reference range

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

Specimen: sputum

Patient should rinse mouth with water before expectorating. Avoid contamination with saliva or nasal secretions. Collect early morning sputum sample if possible. Provide clear instructions on proper sputum expectoration technique.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

Is this test painful?
The test involves coughing to produce sputum, which may cause some discomfort but is not painful. The process is similar to clearing your throat deeply.
How long does it take to get results?
Culture tests for Rickettsia can take several days to a couple of weeks because the bacteria grow slowly in the laboratory. Your healthcare provider will inform you when results are ready.
Do I need to prepare for this test?
You may be asked to not eat or drink anything before the test, and to rinse your mouth with water before providing the sample. Follow any specific instructions given by your healthcare provider.
What happens if my test is positive?
If Rickettsia is detected, your doctor will prescribe appropriate antibiotic treatment, usually doxycycline. It is important to complete the full course of medication as prescribed.
Can Rickettsia be spread from person to person?
Most Rickettsia diseases are not directly transmitted from person to person. They are typically spread through insect bites (ticks, fleas, lice) or contact with contaminated materials. However, some types can spread through contact with infected body fluids.
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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