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      • IgG serum endpoint titer of ≥1:64 is suggestive of infection at an unknown time and may be a sign of either past infection or early response to a recent infection. IgM titer of ≥1:64 is regarded as probable evidence of recent or ongoing infection.
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  2. Rickettsial infections in the United States are caused by 2 major groups within the genus Rickettsia: spotted fever group and typhus fever group. The spotted fever group includes Rickettsia rickettsii (Rocky Mountain spotted fever), Rickettsia akari, Rickettsia conorii (Boutonneuse fever), Rickettsia australis (Queensland tick typhus), and ...

  3. May 15, 2024 · Rocky Mountain spotted fever (RMSF) can be identified by a variety of tests. Always take a thorough patient history, including recent tick bites, exposure to areas where ticks are found, and travel history. Spotted fever rickettsiosis (including RMSF) is a nationally notifiable condition.

  4. Jul 17, 2023 · Currently, most cases of Rocky Mountain spotted fever are diagnosed based on immunoglobulin M (IgM) and IgG serologic responses to R. rickettsiae, in conjunction with a high degree of clinical suspicion. It is crucial to consider repeat testing after the resolution of symptoms, as serologic tests may be negative if testing occurs early in the ...

    • Jessica Snowden, Kari A. Simonsen
    • 2023/07/17
  5. Acute and convalescent titers are often necessary. IgG serum endpoint titer of ≥1:64 is suggestive of infection at an unknown time and may be a sign of either past infection or early response to a recent infection. IgM titer of ≥1:64 is regarded as probable evidence of recent or ongoing infection.

  6. Serology. Gold standard is IFA for IgG antibodies in paired serum samples. First sample should be obtained in the first week and will be low or negative. Second sample should be obtained 2-4 weeks later and should show a four fold increase in IgG if positive. Both IgG and IgM begin to rise at the end of the first week of symptoms. Limitations.

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  7. May 15, 2023 · Rocky Mt Spotted Fever IgM: Less than 1:64 1:64 or greater: Negative - No significant level of IgM antibody detected. Positive - Presence of IgM antibody detected, which may indicate a current or recent infection; however, low levels of IgM antibodies may occasionally persist for more than 12 months post-infection.

  8. Method Name. Immunofluorescence. NY State Available. Yes. Reporting Name. Spotted Fever Group Ab, IgG, IgM, S. Aliases. Rocky Mountain Spotted Fever. RMSF. Rickettsia. Aiding in the diagnosis of spotted fever group rickettsial infections.

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