Brucella Antibody, IgG, EIA
Code:17028|CPT:86622|LOINC:24387-3
| Includes | Brucella Antibody IgG, EIA |
|---|
Analysis details
Methodology
- Enzyme immunoassay (EIA)
Expected Turnaround Time
3–5 days
Special Instructions
- Do not eat for 2–3 hours before blood collection; water is allowed.
- Avoid smoking during the 30 minutes before specimen collection.
How to use
The Brucella Antibody, IgG, EIA (Brucella IgG EIA) provides qualitative detection of IgG directed against Brucella abortus to aid the diagnostic assessment of brucellosis. The assay is used when acute septicemic disease or chronic, relapsing infection is suspected and is interpreted in conjunction with clinical findings and other serologic tests for brucellosis antibodies.
Limitations
Brucellosis is a zoonotic infection with multi-organ involvement and a tendency to progress to chronic disease. Human infection most often follows ingestion of contaminated dairy products, meat, or water; percutaneous and airborne exposure can occur in occupational settings. Reservoir species include goats, sheep, cattle, and swine, which shed organisms in feces, urine, milk, and amniotic fluid. Brucella are intracellular bacteria capable of persisting in the environment—such as in water, meat, certain dairy products, and animal hair—and are inactivated by boiling or sufficient heating. The incubation period is typically 1–4 weeks but can extend to 2–3 months with latent carriage. Acute disease usually begins abruptly with high fever, chills, sweats, myalgia, and arthralgia, whereas chronic brucellosis often relapses and involves multiple organ systems with generally moderate systemic symptoms. Diagnosis relies on culture of blood, lymph node aspirate, or cerebrospinal fluid and on serologic assays for Brucella antigens and antibodies; class-specific serology, including IgG, can help distinguish acute from chronic infection. Serologic results are interpreted in the context of clinical features and other laboratory data.
| Unit | qualitative | ||||
|---|---|---|---|---|---|
| Reference interval |
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| Indications | Acute febrile illness compatible with septicemic brucellosis, such as high fever, chills, profuse sweating, asthenia, myalgia, arthralgia, or arthritis., Workup of patients with genitourinary or musculoskeletal involvement who also have epidemiologic risk factors, including consumption of unpasteurized goat milk, residence or travel in endemic regions, or occupational exposure (eg, veterinarians; dairy or meat industry workers)., Public health surveillance or selection of individuals considered for brucellosis vaccination., Differential evaluation of fever when considering influenza, typhoid fever, malaria, infectious mononucleosis, leptospirosis, Hodgkin lymphoma, or rheumatoid arthritis. |
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 |