Anaplasma phagocytophilum Antibody, IgG (Sendout)

General Information

Lab Name
Lab Code
216
External Test Id
ANAP
Description

Useful For:

  • As an adjunct in the diagnosis of human granulocytic ehrlichiosis
  • Seroepidemiological surveys of the prevalence of the infection in certain populations

Testing Algorithm:

Synonyms
ANAP, Anaplasma phagocytophilum, Ehrlichiosis, HGA, HGE, Human Granulocytic Anaplasmosis, Human Granulocytic Ehrlichiosis
Components

Interpretation

Guidelines
Method

Immunofluorescence Assay (IFA)

Reference Range
Ref. Range Notes

Reference Values: <1:64

Interpretation:

A positive result of an immunofluorescence assay (IFA) test (titer > or =1:64) suggests current or previous infection with human granulocytic ehrlichiosis. In general, the higher the titer, the more likely it is that the patient has an active infection.

Seroconversion may also be demonstrated by a significant increase in IFA titers.

Interferences and Limitations

Cautions:

Previous episodes of human granulocytic ehrlichiosis may produce a positive serologic result.

In rare instances, clinical evidence of infection may also be derived by direct microscopic examination of Giemsa- or Diff-Quik-stained peripheral blood buffy coat smears, which may reveal clusters of round, dark-purple stained, small dots, or clusters of dots (morulae) in the cytoplasm of polymorphonuclear cells. However, this is a very insensitive method.

Performance characteristics have not been established for hemolyzed or lipemic specimens.

Ordering & Collection

Specimen Type
Blood
Collection

Collect 3 mL blood in RED TOP tube or GOLD SST

Handling Instructions

Outside Laboratories: Centrifuge sample and transfer serum to a separate plastic vial. Refrigerate serum.

Stability: Refrigerated (preferred): 14 days; Frozen: 14 days; Ambient: Unacceptable.

Reject Due To: Gross hemolysis, gross lipemia, gross icterus, or heat-inactivated specimen.

Quantity
Requested: 0.5 mL serum
Minimum: 0.4 mL serum

Processing

Receiving Instructions

Centrifuge sample and transfer serum to a separate plastic vial. Refrigerate serum.

Login: SPMSND-;REFRIG

  • MSNDTO: MAYOSD
  • MSPTYP: SERUM
  • MTSTRQ: ;Anaplasma phagocytophilum IgG (Mayo Test ANAP)

Sendouts:

  • Order Mayo Test: ANAP.

Stability: Refrigerated (preferred): 14 days; Frozen: 14 days; Ambient: Unacceptable.

Reject Due To: Gross hemolysis, gross lipemia, gross icterus, or heat-inactivated specimen.

Misc Sendout

Performance

Lab Department
Frequency
Performed: Monday - Friday. Report Available: 1-3 days.
Available STAT?
No
Performing Location(s)
Sendout Mayo Clinic Laboratories (Superior Drive)
800-533-1710

3050 Superior Drive NW
Rochester, MN 55901

Billing & Coding

Billing Comments

CPT: 86666