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

This blood test detects antibodies (IgG and IgM) in your blood that your immune system produces in response to Rickettsia bacteria that cause spotted fever.

Quick summary

{"The test checks for IgG and IgM antibodies against Rickettsia spotted fever bacteria","It helps diagnose current or past infection with spotted fever group rickettsial diseases","A blood sample is taken from a vein in your arm","Results are reported as titers (dilution ratios)","Early testing is important as treatment should not wait for test results"}

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

Key facts at a glance

LOINC
90260-1
Short code
RICKSPFG
Synonyms
SF IgG+IgM Pnl Titr Ser
Category
cardiac
Sample
serum
Container
Serum separator tube (SST) or plain red top tube
Units
N/A
Ref low
0
Ref high
64
Critical range
— – 1024 N/A
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
Indirect Immunofluorescence Assay (IFA)
CPT
86757
SNOMED
40930008
Specimen volume
1-2 mL of serum minimum
Stability
Room temperature: 24 hours; Refrigerated (2-8°C): 5-7 days; Frozen (-20°C or below): 30 days. Avoid repeated freeze-thaw cycles.
Hemolysis max
50
Lipemia max
300
Icterus max
20
TAT
48–168 hours
Order
routine

What is this test?

The Rickettsia Spotted Fever Group Antibody Test is a blood test that looks for specific antibodies in your blood serum. Antibodies are proteins made by your immune system to fight infections. This test detects two types of antibodies: IgM (which appear first during an infection) and IgG (which appear later and provide long-term immunity).

What is Rickettsia Spotted Fever?

Rickettsia spotted fever group includes several types of bacteria transmitted by ticks, fleas, or mites. Common diseases in this group include Rocky Mountain spotted fever, Mediterranean spotted fever, and Japanese spotted fever. These infections typically cause fever, headache, rash (often including palms and soles), and can be severe if not treated promptly with antibiotics.

How is the test performed?

A healthcare professional will draw a small amount of blood from a vein in your arm. The blood is collected in a tube and sent to a laboratory for analysis. The lab will test your serum (the liquid part of blood after it clots) to detect and measure the level of IgG and IgM antibodies against Rickettsia organisms.

What do the results mean?

Results are reported as titers, which indicate the highest dilution of your blood sample that still shows a positive reaction. A four-fold increase in antibody titer between two samples taken 2-4 weeks apart typically indicates a recent or current infection. Your healthcare provider will interpret the results along with your symptoms, exposure history, and physical examination findings.

Why is this test ordered?

This test is ordered when you have symptoms suggestive of spotted fever rickettsial infection, especially if you have been exposed to ticks or have recently traveled to areas where these infections are common. It helps confirm the diagnosis, as symptoms can be similar to other illnesses like typhoid, measles, or dengue fever.

Reference range

IgG: <1:64 negative, 1:64 borderline, >=1:128 positive. IgM: <1:64 negative, >=1:64 positive. A four-fold rise in titer between acute and convalescent sera (2-4 weeks apart) indicates recent infection.N/A

Specimen: serum

No special preparation required. Fasting is not necessary. Inform the laboratory of recent travel history, tick exposures, or febrile illness.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

Do I need to fast before this test?
No, you do not need to fast before this test. You can eat and drink normally before having your blood drawn.
How long does it take to get results?
Results are typically available within 3-7 days, depending on the laboratory. Your healthcare provider will contact you with the results or discuss them at your follow-up appointment.
What does a positive result mean?
A positive result indicates that you have or recently had a Rickettsia spotted fever infection. However, your healthcare provider will interpret the result in context of your symptoms and possible exposure. A single positive result may indicate past infection, while a four-fold increase in titer between two tests confirms recent infection.
Can this test detect all types of Rickettsial infections?
This test specifically detects antibodies to the spotted fever group of Rickettsia. It may not detect infections caused by other Rickettsia groups such as typhus group or scrub typhus. Your doctor will choose the appropriate tests based on your symptoms and geographic location.
Is the test safe during pregnancy?
The blood draw itself is generally safe during pregnancy. If you are pregnant and your doctor suspects a Rickettsia infection, the benefits of testing and treatment usually outweigh any potential risks. Always inform your healthcare provider if you are pregnant or might be pregnant.
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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