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  2. Mar 26, 2021 · The standard serologic test for diagnosis of RMSF is the indirect immunofluorescence antibody (IFA) assay for immunoglobulin G (IgG) using R. rickettsii antigen. IgG IFA assays should be performed on paired acute and convalescent serum samples collected 2–4 weeks apart to demonstrate evidence of a fourfold seroconversion.

  3. 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.

  4. The spotted fever group includes Rickettsia rickettsii (Rocky Mountain spotted fever), Rickettsia akari, Rickettsia conorii (Boutonneuse fever), Rickettsia australis (Queensland tick typhus), and Rickettsia sibirica (North Asian tick typhus).

  5. Aug 25, 2022 · Rocky Mountain spotted fever (RMSF) is a serious illness you get from a tick bite. It’s caused by the bacterium Rickettsia rickettsii. Symptoms include a high fever and headache. Rash may start three or more days after other symptoms. RMSF can be life-threatening if not treated quickly with antibiotics. RMSF is found in most states in the U.S.

  6. Jul 17, 2023 · Rocky Mountain spotted fever (RMSF) is an acute febrile tick-borne illness caused by Rickettsia rickettsii. In North America, it is both the most severe and the most common rickettsial infection. Without prompt antibiotic treatment, mortality rates are as high as 20 to 30 percent.

  7. 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.