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Blood test
Blood test

Complement fixation test to C. burnetii

Definition:

This test is used to detect the presence of antibodies to Coxiella burnetii (C. burnetti) bacteria�in the blood. Thehighly infectious bacteria�causes Q fever.



How the test is performed:

An antibody defends the body against bacteria, viruses, fungus, or other foreign body (antigen). Certain cells�tell the body to produce antibodies during an active infection.

In the initial stage of an illness, few antibodies may be detected. Antibody production increases during the course of an infection. For this reason, such tests are often repeated several weeks after the first test is done.

This complement fixation test looks to see if� the body has produced antibodies to a specific antigen -- in this case�the C.burnetti bacteria.�If the antibodies are present, they stick, or "fix" themselves, to the antigen, that's why the test is called "fixation."

The test specifically looks for the antibodies in�the clear liquid portion of the blood called the serum. (The general term for such a technique is called serology.)

Antibodies are rarely produced in�people with acute C. burnetti�infections. Instead, the presence of such antibodies usually indicate chronic Q fever.



How to prepare for the test:

No special preparation is necessary for this test.



How the test will feel:

A needle is inserted to draw blood. You may feel moderate pain, or�only a prick or stinging sensation. Afterward, there may be some throbbing.



Why the test is performed:

The test is performed to detect Q fever.



Normal Values:

The presence of no antibody to C. burnetii is normal. People with past exposure may have antibodies, even if they are not aware that they were exposed.



What abnormal results mean:

Abnormal results show a rise in the antibody titer, which indicates possible Q fever.



What the risks are:
  • Excessive bleeding
  • Fainting or feeling light-headed
  • Hematoma (blood accumulating under the skin)
  • Infection (a slight risk any time the skin is broken)
  • Multiple punctures to locate veins


Special considerations:

Veins and arteries vary in size from one patient to another and from one side of the body to the other. Obtaining a blood sample from some people may be more difficult than from others.



References: Pierre-Edouard Fournier and Didier Raoult. Comparison of PCR and Serology Assays for Early Diagnosis of Acute Q Fever. J Clin Microbiol. 2003 November; 41(11): 5094�5098.�Beers MH, Berkow R.�Rickettsial Diseases. In: The Merck Manual of Diagnosis and Therapy.�Sec. 13, Ch. 159. Merck & Co, Inc; 1999-2005.


Review Date: 6/10/2005
Reviewed By: A.D.A.M. editorial and Eleftherios Mylonakis, M.D., Division of Infectious Disease, Massachusetts General Hospital, Boston, MA. Review provided by VeriMed Healthcare Network.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2002 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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