Borrelia hermsii - IgG
What is Borrelia hermsii – IgG?
Borrelia hermsii is a bacterial species that causes tick-borne relapsing fever (TBRF), a disease characterized by recurring episodes of fever and other flu-like symptoms. It is transmitted to humans by soft-bodied ticks of the Ornithodoros genus, which typically feed quickly and are often found in rodent-infested cabins, campsites, or rustic buildings in the western United States and parts of Canada.
The IgG antibody test for Borrelia hermsii measures your body's longer-term immune response to this pathogen. IgG antibodies typically appear weeks after infection and can remain in the bloodstream for months or years after exposure.
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What does it mean if your Borrelia hermsii - IgG result is too high?
What Does a Positive or Elevated IgG Result Mean?
A positive or elevated IgG result for Borrelia hermsii may indicate:
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A past infection with B. hermsii, especially if you are no longer experiencing active symptoms
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A resolving or chronic immune response to a prior relapsing fever episode
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In some cases, cross-reactivity with antibodies to other Borrelia species
Because IgG reflects past or longer-standing immune activity, it does not confirm an active infection on its own but strongly suggests prior exposure.
Symptoms of Tick-Borne Relapsing Fever (TBRF)
Symptoms usually appear within a week after a tick bite and may include:
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Recurrent high fever (often cycling every 3–7 days)
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Chills
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Headache
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Muscle and joint aches
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Fatigue
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Nausea or vomiting
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Rash (less common)
Each fever episode typically lasts a few days and then resolves before recurring.
Next Steps
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Speak with your healthcare provider to interpret this result in context. They will assess your clinical history, potential tick exposure, and other lab findings.
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Additional testing may be needed, including IgM or PCR, to determine whether there is an active infection or only past exposure.
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If infection is suspected or symptoms are present, antibiotic treatment is generally effective and can help prevent complications.
Summary
The Borrelia hermsii – IgG marker helps detect past or longer-term exposure to the bacterium that causes tick-borne relapsing fever. A medium or positive result indicates immune system recognition of this pathogen, but it does not confirm a current infection. Clinical symptoms, timing, and further testing are essential to determine whether treatment is needed.
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