ARUP's Laboratory Test Directory

Herpes Simplex Virus Type 1 and/or 2 Antibodies, IgM by ELISA, CSF : 0050408

Mnemonic: HSVMCCSF

Methodology: Enzyme-Linked Immunosorbent Assay
Performed: Sun, Tue-Sat
Reported: Within 24 hours
Specimen Required: Collect:  CSF.

Transport:   0.5 mL CSF at 2-8°C. (Min: 0.2 mL)  Submit specimen in an ARUP Standard Transport Tube.

Remarks:  Indicate source on test request form. CSF is the only acceptable specimen type.

Unacceptable Conditions:  Heat-inactivated or contaminated specimens.

Stability:  Ambient: 8 hours; Refrigerated: 2 weeks; Frozen: 1 year
Reference Interval:
0.89 IV or less: Negative - No significant level of detectable HSV IgM antibody.
0.90-1.09 IV: Equivocal - Questionable presence of IgM antibodies.  Repeat testing in 10-14 days may be helpful.
1.10 IV or greater: Positive - IgM antibody to HSV detected, which may indicate a current or recent infection. However, low levels of IgM antibodies may occasionally persist for more than 12 months post-infection.
Interpretive Data: The detection of antibodies to herpes simplex virus in CSF may indicate central nervous system infection. However, consideration must be given to possible contamination by blood or transfer or serum antibodies across the blood-brain barrier.

Fourfold or greater rise in CSF antibodies to herpes on specimens at least 4 weeks apart are found in 74-94% of patients with herpes encephalitis.  Specificity of the test based on a single CSF testing is not established.  Presently PCR is the primary means of establishing a diagnosis of herpes encephalitis.

Please refer to Statement E in the Compliance Statements section in the front of the Laboratory Test Directory.
CPT Code(s): 86694
 
 

 

 

 
All ARUP Sites:        www.aruplab.com     ·     www.arupconsult.com     ·     www.arup.utah.edu     ·     www.childx.org     ·     www.utahblood.org