Sfiggigmpnltitrser
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.
{"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"}
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
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?
How long does it take to get results?
What does a positive result mean?
Can this test detect all types of Rickettsial infections?
Is the test safe during pregnancy?
Sources
- 1
- 2
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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