Brucella Antibody, IgG, EIA
Code:17029|CPT:86622|LOINC:24387-3
| Includes | Brucella Antibody IgG, EIA |
|---|
Analysis details
Methodology
- Enzyme immunoassay (EIA)
- Indirect hemagglutination assay (IHA)
Expected Turnaround Time
—
Special Instructions
- Do not smoke during the 30 minutes before the blood draw.
How to use
Brucella Antibody, IgG, EIA is a qualitative serologic test used to identify human IgG antibodies directed against Brucella spp., aiding the diagnosis of brucellosis (undulant fever/Malta fever) when interpreted with symptoms, exposure history, and complementary laboratory data. The assay is applicable across acute, subacute, and chronic presentations of disease and can be used to monitor treatment by tracking changes in antibody levels over time. In brucellosis serology, IgG detection contributes to assessing active infection or prior exposure, and evaluation is strengthened by paired specimens or additional serologic methods performed in parallel.
Limitations
Brucellosis is a zoonosis caused by Brucella spp., small gram-negative coccobacilli that are invasive and capable of intracellular persistence. In humans, B. melitensis is most frequently implicated, followed by B. abortus, B. suis, B. canis, and marine species. Infection is typically acquired through ingestion of unpasteurized dairy products or undercooked meat, as well as occupational or laboratory exposure; person-to-person transmission is rare but has been documented, including via breast milk. Clinical manifestations range from an acute or subacute febrile illness with lymphadenopathy and hepatosplenomegaly to chronic or localized disease involving the musculoskeletal, neurologic, cardiovascular, or genitourinary systems. Serologic diagnosis depends on detecting antibodies to Brucella antigens: IgM usually becomes detectable around days 6–7, while IgG predominates by approximately week 2. Rising antibody titers over a four-week interval support recent infection, and a fourfold increase between paired sera is considered diagnostically significant. Persistent elevation of titers may reflect ongoing infection, whereas declining titers can indicate effective therapy. Results are interpreted alongside clinical data and other laboratory findings; nucleic acid amplification testing may be used as a complementary approach.
| Unit | qualitative | ||||
|---|---|---|---|---|---|
| Reference interval |
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| Indications | Evaluation of suspected acute or subacute brucellosis characterized by prolonged high fever (≥39–40 °C), chills, lymph node enlargement, hepatosplenomegaly, joint pain or arthritis, and possible neurologic or cardiovascular involvement., Assessment of suspected chronic brucellosis with constitutional complaints and recurrent musculoskeletal or neurologic manifestations, including arthritis/arthralgia, myositis, fibrositis, cellulitis, radiculopathy, neuralgia, vasculitis, myocarditis, or endocarditis., Workup of focal disease of the urogenital, nervous, cardiovascular, or musculoskeletal systems in individuals with risk for exposure (eg, veterinarians, meat-processing workers, livestock handlers, microbiology laboratory personnel) or in persons from endemic regions. |
Possible Causes of Abnormal Results
Increased levels
- escherichia coli o157
- francisella tularensis
- salmonella urbana group n
- stenotrophomonas maltophilia
- vibrio cholerae
- yersinia enterocolitica o:9
Decreased levels
- early acute phase of infection
- immunodeficiency
- neonates
- older age
Specimen Requirements
| Specimen | Serum |
|---|---|
| Container | Gold/Tiger Top (SST, Gel Separator) |
| Volume | 0.4 mL (min 0.2 mL) |
| Storage Instructions | Room temperature, Refrigerated, Frozen |
References
Al Dahouk S, Sprague LD, Neubauer H. New developments in the diagnostic procedures for zoonotic brucellosis in humans. Rev Sci Tech. 2013 Apr;32(1):177-88.
Kassiri H, Amani H, Lotfi M. Epidemiological, laboratory, diagnostic and public health aspects of human brucellosis in western Iran. Asian Pac J Trop Biomed. 2013 Aug;3(8):589-94; discussion 593-4.
Shuvalova EP. Infectious Diseases. Moscow: Meditsina; 2005. 696 p.
Fauci, Braunwald, Kasper, Hauser, Longo, Jameson, Loscalzo. Harrison’s Principles of Internal Medicine. 17th edition. 2009.