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Rtyphiigaseracnc

Published: August 9, 2026Updated: August 10, 2026

A blood test that detects IgA antibodies against Rickettsia typhi bacteria, used to diagnose murine typhus (endemic typhus).

Quick summary

{"Detects IgA antibodies to Rickettsia typhi bacteria","Used to diagnose murine typhus, a fleaborne infection","Performed on a blood sample drawn from a vein","Positive result indicates current or recent infection","Important for identifying the cause of fever and appropriate treatment"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 10, 2026Editorial policy

Key facts at a glance

LOINC
22487-3
Short code
RTYPIgA
Synonyms
R typhi IgA Ser-aCnc
Category
cardiac
Sample
serum
Container
Serum separator tube (SST) or plain red top tube
Units
N/A
Ref low
0
Ref high
64
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
Enzyme-linked immunosorbent assay (ELISA)
CPT
86757
SNOMED
122442009
Specimen volume
1.0 mL minimum, 2.0 mL preferred
Stability
Room temperature: 24 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C or below): 30 days
Hemolysis max
50
Lipemia max
300
Icterus max
20
TAT
24–72 hours
Order
routine

What is this test?

The Rickettsia typhi IgA antibody test is a blood test that looks for IgA antibodies against Rickettsia typhi bacteria in your blood. Rickettsia typhi is a bacterium that causes murine typhus, also known as endemic typhus. IgA antibodies are proteins produced by your immune system to fight this specific infection.

Why is this test performed?

This test is performed to help diagnose murine typhus, especially when you have symptoms such as fever, headache, rash, and muscle pain. It is particularly useful when the cause of a fever is unknown. Murine typhus is typically transmitted through flea bites or contact with infected flea feces.

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 sample is then sent to a laboratory where it is tested for the presence of IgA antibodies against Rickettsia typhi. The procedure is quick and usually takes only a few minutes.

What do the results mean?

A positive result means that IgA antibodies to Rickettsia typhi were detected in your blood, indicating that you have a current or recent infection with the bacteria that causes murine typhus. A negative result means that no antibodies were detected, which could mean you do not have the infection, or that it is too early in the infection for antibodies to be detected. Your healthcare provider will interpret the results in conjunction with your symptoms and other test findings.

Reference range

Negative: < 1:64 titer or < 4.0 units; Equivocal: 1:64 titer or 4.0-5.9 units; Positive: >= 1:128 titer or >= 6.0 unitsN/A

Specimen: serum

No special preparation required. Patient does not need to fast.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

What is murine typhus?
Murine typhus, also known as endemic typhus, is a disease caused by the bacteria Rickettsia typhi. It is transmitted to humans through flea bites or contact with materials contaminated with infected flea feces. Symptoms typically include fever, headache, rash, and muscle pain. The disease is usually mild but can become serious without treatment.
How is murine typhus treated?
Murine typhus is typically treated with antibiotics such as doxycycline, which is highly effective against rickettsial infections. Early treatment usually leads to rapid improvement within 2-3 days. It is important to complete the full course of antibiotics as prescribed by your healthcare provider.
Is the test painful?
You may feel a brief sting or pinch when the needle is inserted to draw your blood. This is generally well-tolerated and only lasts a moment. After the blood is drawn, you may have some minor bruising at the injection site, but this usually resolves quickly.
Do I need to fast before this test?
No, fasting is not required for this test. You can eat and drink normally before having your blood drawn.
How long does it take to get results?
The time to receive results may vary depending on the laboratory. Typically, results are available within a few days to a week. Your healthcare provider will inform you when your results are ready and will discuss them with you.
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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 10, 2026. · Read our editorial policy