Use in conjunction with serologic testing for the workup of suspected acute Lyme neuroborreliosis. Do not order in the absence of clinical symptoms.
- Patient Preparation
- Specimen Preparation
- Transfer 3 mL CSF to an ARUP Standard Transport Tube. (Min: 2 mL)
- Storage/Transport Temperature
- Unacceptable Conditions
- Contaminated or heat-inactivated specimens.
- Ambient: 8 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
The detection of antibodies to Borrelia burgdorferi in cerebrospinal fluid may indicate central nervous system infection. However, consideration must be given to possible contamination by blood or transfer of serum antibodies across the blood-brain barrier.
A positive result indicates that the Western blot evaluation for Lyme antibody is consistent with the presence of antibody produced by patients in response to infection by Borrelia burgdorferi and suggests the presence of Lyme disease. Although the test has been shown to have a high degree of reliability for diagnostic purposes, laboratory data should always be correlated with clinical findings.
Current CDC recommendations for the serologic diagnosis of Lyme disease are to screen with a polyvalent EIA test and confirm equivocal and positive with Western blot. Both IgM and IgG Western blots should be performed on specimens obtained less than four weeks after appearance of erythema migrans. Only IgG Western blot should be performed on specimens greater than four weeks after disease onset. IgM Western blot in the chronic stage is not recommended and does not aid in the diagnosis of neuroborreliosis or chronic Lyme disease. Please submit requests for appropriate Western blot testing within 10 days.
|Component Test Code*||Component Chart Name||LOINC|
|0055258||Borrelia burgdorferi Ab, IgM, WB (CSF)||13203-5|
- Lyme Disease
- Lyme Disease IgM CSF WB
- Lyme Disease IgM CSF Western Blot