Lab Tests

Lab Contact Information Is Listed Below

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WARNING!
Do NOT Depend on the Standard 
Lyme Disease Lab Tests for a Diagnosis! 

Approximately $500 MILLION is spent on the 
3.4 MILLION Lyme tests performed in the USA each year.

What a huge waste of money!

According to a study from Johns Hopkins, Lyme tests miss approximately 75% of the patients who have Lyme disease.  Other sources have determined the percentage of people missed could be as high as 90%.  Remember, a negative test does not exclude the diagnosis of Lyme disease! 

Update-  The 2006 IDSA Guideline editor, Paul Auwaerter, and more than one of the IDSA Lyme disease guideline authors (panel) are from, or are currently working at Johns Hopkins. Paul Auwaerter was also a co-author on the 2005 John Hopkins study proving the tests for Lyme disease were grossly substandard, yet he continues to insist one or more tests should read positive before being treated for Lyme disease.

Update- Paul Auwaerter (Hopkins) is still on the warpath, attempting to stop doctors from ordering tests for Lyme disease from labs that his colleagues don't have patents on.  Click here  for more information. 

Update- 2016- Paul Auwaerter (Hopkins) continues to insist on the use of 2-tier testing when it has been proven in studies and clinical use that the tests are basically garbage and are not to be trusted.  Click here for more information.

Update- 2017- IDSA authors and a long time supporter published another trashy un-scientific article attacking Lyme patients, Lyme treating doctors, Lyme labs, the media, politicians and any tests other than the ones they promote- calling them "fake tests".  Our response to their "fake" everything article is here.  
 

Connecticut Attorney General's Findings
May 1, 2008

"The IDSA's 2006 Lyme disease guideline panel undercut its credibility by allowing individuals with financial interests -- in drug companies, Lyme disease diagnostic tests, patents and consulting arrangements with insurance companies -- to exclude divergent medical evidence and opinion."


Western Blot Tests Explained

List of Western Blot bands and explanations from various sources

9  cross-reactive for Borrellia

12  specific for Bb (Lyme)

18  flagellin fragment (Lyme)

20 may be cross-reactive for Borrellia

21  unknown

22  specific for Bb, probably really the 23/25 band

23-25 outer surface protein C (OspC), specific for Bb.  Can be an early band. 

28 OspD.  Specific for Bb (Lyme).

[23-28] Potential for Central Nervous System (CNS) involvement. 

30 OspA- substrate binding protein- common in European and 
one California strain.  Check for mycoplasma.

31 OspA, specific for Bb (Lyme). 

34 outer surface protein B (OspB); specific for Bb (Lyme).

35 specific for Bb

37 FlaA gene product- specific for Bb (Lyme).

38 cross-reactive for Bb

39 BmpA- a major protein of Bb flagellin; specific for Bb-  Sometimes found in those with joint involvement.  
It is the most specific antibody for borreliosis of all bands.

41 flagellin protein of all spirochetes.  This is usually the first to appear after a Bb infection and is specific for all Borrellia.  Can be positive due to relapsing fever, oral spirochetes and syphilis.  
Flagella or tail protein.  Flagella is used to move Borrelia burgdorferi from point to point.  Many bacteria have flagella.  This is the most common borreliosis antibody.  

45 cross-reactive for all Borellia (sometimes people with Lyme who have 
this band positive also have the co-infection Ehrlichiosis).  
Heat shock protein. This helps the bacteria survive fever. The only bacteria that does not have heat shock proteins is Treponema pallidum, the cause of syphilis.

50 cross-reactive for all Borrellia

55 cross-reactive for all Borrellia

57 cross-reactive for all Borrellia

58 unknown but may be a heat-shock Bb protein- Check for viral infections

60 cross reactive for all Borrellia

66 Oms66- cross-reactive for all Borrelia, common in all bacteria- Check for E-coli
 
83 high molecular mass protein.  Specific antigen for the Lyme bacterium.  
This is the DNA or genetic material of Borrelia burgdorferi. It is the same as 93, based on medical literature. Laboratories vary in assigning significance to the 83 versus the 93 band.

93 
an immunodominant protoplasmic cylinder antigen, associated with the flagellum. Possibly the same protein as in band 83, just migrates differently in some patients.

NOTES:

When reporting bands, the reporting laboratory marks bands with the following indicators of intensity:

-Not present
+Low
++Medium
+++High
+/-Equivocal = indeterminate (present, but not as intense as the "Low" reading)

Other bacteria besides Borrelia burgdorferi may produce the 45, 58, 66, and 73 kDa bands.

Some patients might have an IgM response at the time of the EM rash.  The IgG response tends to start several weeks after infection and peak months to years later.  In some patients, the IgM response can remain elevated- in others it might decline, regardless of whether or not treatment is successful.

Many Lyme disease experts believe it is a mistake to exclude 31 and 34 kDa antibody proteins from the list of significant bands. 

Lyme disease patients may not test positive for exposure to B. burgdorferi because their antibodies to the organism are bound up in immune complexes.

An indeterminate number of patients with late or chronic Lyme disease are simply seronegative for unknown reasons.

Article- Testing for Borreliosis- by Dr. Charles Crist




Reasons Why Someone Could Have A 

False-Negative Lyme Test

 


1. Recent infection- before immune response has had time to produce antibodies

2. Antibodies are bound in immune complexes

3. Spirochete encapsulated by host tissue (i.e. lymphocytic cell walls)

4. Spirochete is deep in host tissue (i.e. fibroblasts, neurons, etc.)

5. Blebs in body fluid, no whole organisms needed for PCR

6. No spirochetes in body fluid on day of test

7. Genetic heterogeneity (300 strains, 100 in U.S.)

8. Antigenic variability

9. Surface antigens change with temperature

10. Utilization of host protease instead of microbial protease

11. Spirochete in dormancy phase (L-form) with no cell walls

12. Recent antibiotic treatment for any condition

13. Recent anti-inflammatory treatment

14. Concomitant infection with Babesia may cause immunosuppression

15. Other causes of immunosuppression

16. Lab with poor technical capability for Lyme disease

17. Lab tests not standardized for late stage disease

18. Lab tests labeled "for investigational use only"

19. CDC criteria is epidemiological and is not a diagnostic criteria

20. Lack of standardized control

21. Most controls use only a few strains as a reference point

22. Few organisms are present

23. Encapsulated by glycoprotein "S-layer" which impairs immune recognition

24. "S"- layer binds to IgM

25. Immune deficiency

26. Possible down regulation of immune system by cytokines

27. Revised Western Blot criteria fails to include most significant bands

Source

 



Difficulty Affording Lyme Testing?

The Lyme Test Access Program (Lyme-TAP) is a nationwide patient assistance program offered by Ferndale Foundation in coordination with the Lyme Patients Assistance Group to provide assistance for initial Lyme-related lab tests to patients who demonstrate true financial need. Please click here for more information.



A false negative Lyme test is a disadvantage in several ways. 

1.  Your health care professional may not realize you could still have Lyme disease and not treat you as a result.  

2.  False negative tests can cause a delay in obtaining a proper diagnosis.  Not receiving proper treatment in the early stages allows a complex infectious organism to spread throughout your body, making your condition worse and allowing it to advance to later stages.  This, in turn, makes Lyme disease more difficult and expensive to treat.

3.  You may be improperly diagnosed with fibromyalgia, CFS, MS, Parkinson's, ALS, ADD, depression and other disorders when in fact Lyme disease is the underlying culprit.  
 
4.  Having a negative test provides the insurer another reason to deny your medications and any further testing or treatment for Lyme disease.    


Over the years more health care professionals have stopped using the standard "insurance approved" tests and are sending blood samples to labs that specialize in tick borne disease testing.  If you would like to use a specialty lab to aid in the diagnostic process, you can have a test kit sent to you upon request.  For more information please contact:    

IGeneX, Inc.
795 San Antonio Rd
Palo Alto, CA 94303

Phone: 1-800-832-3200 Toll free
Fax: 1-650-424-1196 


Lab Contact Information

IGeneX, Inc.

Lyme & Tick Borne Disease Testing

795 San Antonio Rd

Palo Alto, CA 94303

Phone: 1-800-832-3200 Toll free

Fax: 1-650-424-1196 

 

BioHealth Diagnostics

Adrenal testing

Phone 619-223-7074

 

Genova Diagnostics

Detox profile, hair testing  

Phone 800-522-4762

 

Meridian Valley

Allergy, hormone testing         

Phone 425-271-8689

 

Metametrix

Ion, urine testing                       

Phone 800-221-4640

 

Fry Laboratories, L.L.C.  

Tick borne diseases

Phone 866-927-8075

 

Advanced Laboratory Services

Lyme Culture Tests

855-238-4949

 

Genelex Lab

Liver Enzymes, MTHFR, etc.

3101 Western Ave., Ste. 100, Seattle, WA 98121

800-TEST-DNA (800-837-8362) or 800-523-3080

 

Australian Biologics Testing Services 

Lyme Testing & Food Intolerance

(Outside Australia- See time restrictions for shipping samples.)

Suite 605, 6th Floor

379-383 Pitt Street

SYDNEY  NSW  2000

Ph:(02) 9283 0807

Fx:(02) 9283 0910

www.australianbiologics.com.au

ABN: 83 057 347 387



Laboratories Testing Ticks for Pathogens 

IGeneX, Inc.

795 San Antonio Rd

Palo Alto, CA 94303

(800) 832-3200

Up to 20 ticks per batch

Multiple Tests- Each Test You Order Is $68.00

Lyme Disease (B. burgdorferi) 

Babesiosis (B microti and/or B duncani) 

Ehrlichiosis (Ehrlichia)

Bartonella henselae

Rickettsia

Relapsing Fever 

More Information & Form

http://www.igenex.com/files/ticktest.pdf

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Connecticut Veterinary Medical Diagnostic Laboratory

61 North Eagleville Road

Unit 3203 Storrs, CT 06269-3203 

Phone: 860-486-3738 

Fax: 860-486-2737

Deer Tick: 1-Panel PCR- Borrelia burgdorferi - $50.00

4-Panel PCR (Human Host) - Borrelia burgdorferi, Anaplasma phagocytophilum, Babesia microti, Borrelia miyamotoi - $120.00

3-Panel PCR (Non-Human Host) - Borrelia burgdorferi, Anaplasma phagocytophilum, Borrelia miyamotoi - $100.00

Dog Tick: 3-Panel PCR (Any Host) - Francisella tularensis, Rickettsia rickettsii, Ehrlichia species - $100.00

Lonestar Tick: 3-Panel PCR (Any Host) - Francisella tularensis, Ehrlichia species, Borrelia lonestari - $100.00

Brown Dog Tick: (Non-Canine Host) - Rickettsia rickettsii - $50.00

2-Panel PCR (Canine Host) - Rickettsia rickettsii, Ehrlichia species - $80.00

More Information & Forms

http://cvmdl.uconn.edu/forms/ACCDOC007%20Tick%20Submission%20Form%20fillable%2012716.pdf

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Analytical Services, Inc.

Tick Testing 

130 Allen Brook Lane

Williston, VT 05495

(800) 723-4432

Lyme Disease (Borrelia burgdorferiONLY-  $65 per tick

More Information & Forms  http://www.analyticalservices.com/tick-testing.html 

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Connecticut Pathology Laboratories

1320 Main St., Ste 24

Willimantic, CT 06226

(860) 450-1823            

Individual Test (Borrelia, Anaplasma, or Babesia): $50.00 

2-Test Panel (Borrelia and Anaplasma, Anaplasma and Babesia, Borrelia and Babesia): $80.00 

3-Test Panel (Borrelia, Anaplasma, and Babesia): $100.00

Call number above for forms and instructions

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Imugen

315 Norwood Park South

Norwood, MA 02062

(800) 246-8436

DEER TICKS ONLY

$75.00 for B. burgdorferi (Lyme Disease spirochete)

$75.00 for B. microti (Babesia parasite)

$98.00 for both B. burgdorferi and B. microti

More Information & Forms

http://www.imugen.com/tick_testing.html

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Clongen Laboratories 

211 Perry Pkwy #6

Gaithersburg, MD 20877

(301) 916-0173

Multiple Organisms

Individual test (see list at website) – $75 two or more tests – $65 each except viruses.  ColtiVirus: $195, Heartland Virus: $195, Powassan Virus: $195.  All three viruses: $500

More Information & Forms

https://www.clongen.com/clinical-diagnostics-services/tick-testing-information/

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Tick Chek- Tick Testing Services

1-866-713-Tick

East Stroudsburg, PA

 


See Links and Pages Below for More Information!
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