Skip Navigation LinksRickettsia-rickettsii-RMSF-Serology

VIRAL AND RICKETTSIAL DISEASE LABORATORY

Test Order
Rickettsia rickettsii (Rocky Mountain Spotted Fever) - Serology ā€‹ā€‹

ā€‹ā€‹Information Category Information Detail
Pre-Approval None
Supplemental Information Requested Requested: Travel history, symptoms, exposures (including animals, arthropods, etc.), disease onset date, clinical summary, antibiotic therapy (drug name, dates of therapy)
Submittal Form Specimens must be accompanied with a hard copy of the completed VRDL General Purpose Specimen Submittal Formā€‹ (PDF) ā€‹or a form generated in the VRDL Lab Web Portal.
Methodology (Commercial Test Name or Laboratory Developed Test (LDT)) IFA: IgG (Commercial Test)(Diagnostic)
Reflex Testing None
Acceptable Specimen Type(s) and Collection Method

Human specimens:

  • Serum: 
  • Plain Red-Top Tubes: Serum collected in plain, red-top tubes must be separated and transferred to sterile, screw-cap tubes for storage and transport.
  • Serum Separator Tubes (SST): SST may be transported after centrifugation.
  • Plasma: Plasma may be separated from EDTA (lavenderā€‹ top) Whole Blood Tubes and transferred to sterile, screw-cap tubes for storage and transport.
Minimum Volume Requested
  • Serum: 1 mL 
  • Whole Blood in EDTA Whole Blood Tubes: 5 mL
  • Plasma: 1 mL
Transport Medium (if using) Not Applicable
Specimen Labeling Each specimen tube must be labeled with at least two unique patient identifiers, e.g., patient full name and date of birth.
Storage & Preservation of Specimen / Shipping Conditions
  • ā€‹Separated Serum: Refrigerate or freeze separated serum promptly after collection.
  • Serum Separator Tubes: Refrigerate, do not freeze.
  • EDTA Whole Blood Tubes: Refrigerate, do not freeze.
  • Plasma: Refrigerate or freeze separated plasma promptly after collection.ā€‹

Ship refrigerated specimens to VRDL on cold packs. Ship frozen specimens to VRDL on dry ice.

Shipping Instructions

Work with your local public health department to ensure samples are packaged according to instructions for Biological Substance ā€“ Category B (UN 3373) shipment.

Ship specimens and a hard copy of the completed submittal forms to:    

CDPH VRDL

ATTN: Specimen Receiving

850 Marina Bay Parkway

Richmond, CA 94804

Phone: 510-307-8585

Turnaround Time 10 Business Days
Limitations

Negative result does not preclude the possibility of infection.

Cross reactivity with antibodies to other related bacteria can occur. This is particularly challenging as there may be similarities in antigens among different Rickettsia species or even unrelated bacteria.

Confirmatory testing such as PCR may be necessary for accurate diagnosis, especially in regions where different species coexist.

Additional Information None
VRDL Points of Contact Medical and Epidemiology Liaisons:ā€‹ (510) 307-8585 or VRDL.submittal@cdph.ca.gov ā€‹
ā€‹ā€‹
Page Last Updated :