Clinics and Departments

Laboratory Services

Lab Dept:

Microbiology/Virology

Test Name:

TICK- BORNE DISEASE PANEL PCR, BLOOD

General Information

Lab Order Codes:

TPCR (PCR Only), TPBL (Orders both PCR and Antibody Testing)

Synonyms:

Ehrlichia chaffeensis; Babesia microti; Tick-borne diseases; Anaplasma phagocytophilum; HME (Human Monocytic Ehrlichiosis); HME (Human Monocytic Ehrlichiosis)

CPT Codes:

87798 x2 – Infectious Agent, Amplified Probe tech, each

Test Includes:

Basesia microti, Babesia duncani, Babesia divergens/MO-1, Anaplasma phagocytophilum, Ehrlichia chaffeensis, Ehrlichia ewing/canis, and Ehrlichia muris-like PCR. For more information, see individual tests.
Note:
As of 12/9/2010: Lyme PCR is no longer tested as part of this panel as blood is not deemed an appropriate specimen. Appropriate specimens for Lyme PCR include: CSF, synovial fluid or tissue. See Test listing: Lyme PCR, CSF or Synovial Fluid. Mayo will offer Lyme PCR, Blood as an individual test for an interim period of time and will eventually discontinue the blood test altogether.

Logistics

Test Indications:

Useful for evaluation of the most common tick-borne diseases found in the United States, including human monocytic and granulocytic ehrlichiosis, and babesiosis. Evaluation of patients with a history of, or suspected, tick exposure who are presenting with fever, myalgia, headache, nausea, and other nonspecific symptoms.

Lab Testing Sections:

Serology - Sendouts

Referred to:

Mayo Medical Laboratories (MML Test: TICKP)

Phone Numbers:

MIN Lab: 612-813-6280

STP Lab: 651-220-6550

Test Availability:

Daily, 24 hours

Turnaround Time:

1 – 4 days, test performed Monday - Friday

Special Instructions:

N/A

Specimen

Specimen Type:

Whole Blood

Container:

Lavender top (EDTA) tube
Note: Green top (heparin) tubes are NOT acceptable.

Draw Volume:

1 mL (Minimum: 0.3 mL) blood

Processed Volume:

Same as Draw Volume

Collection:

Routine venipuncture, invert specimen gently to mix.

Special Processing:

Lab Staff: Do Not centrifuge. Specimen should be sent in original collection container as whole blood. Store and send at refrigerated temperatures. Forward promptly.

Patient Preparation:

None

Sample Rejection:

Unlabeled or mislabeled specimens; specimens other than EDTA plasma; gross hemolysis; gross lipemia

Interpretive

Reference Range:

Basesia species, Molecular Detection PCR: Negative

Ehrlichia/Anaplasma, Molecular Detection PCR: Negative

Critical Values:

N/A

Limitations:

See individual tests

Methodology:

Real-Time Polymerase Chain Reaction (PCR)/DNA Probe Hybridization.

References:

Mayo Medical Laboratories June 2014

Updates:

12/9/2010: Lyme PCR is no longer tested as part of this panel as blood is not deemed an appropriate specimen. Appropriate specimens for Lyme PCR include: CSF, synovial fluid or tissue.



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