At a Glance
Why Get Tested?
To determine the cause of viral meningitis or encephalitis or febrile illness that occurs during the summer season or after travel to a foreign country; to investigate the source of epidemics and track their spread in the community, the U.S., and the world
When to Get Tested?
When you have symptoms suggesting an arbovirus infection, such as fever, headache, stiff neck, muscular weakness and a diagnosis of encephalitis and/or meningitis or a febrile illness associated with travel to a geographical area where mosquito- and tick-borne illness occurs
A blood sample drawn from a vein in your arm or cerebrospinal fluid collected from a spinal tap
Test Preparation Needed?
The Test Sample
What is being tested?
Arbovirus (arthropod borne virus) testing detects viral infections that are transmitted from mosquitoes and other blood-sucking insects to humans. Found throughout the world, arboviruses are an important cause of viral meningitis and encephalitis. In temperate climates, they tend to cause occasional seasonal epidemics. In tropical climates, they may be found year-round, whenever mosquitoes are active.
There are hundreds of different arboviruses, but most are not common. The most widely recognized arbovirus in the U.S. is West Nile Virus (WNV). Some other less common ones include eastern equine and western equine encephalitis and St. Louis virus. Outside of the U.S., other arboviruses predominate in distinct but overlapping geographical regions. Two important ones are dengue fever and yellow fever. The Centers for Disease Control and Prevention (CDC) estimates that as many as 100 million people are infected with the dengue fever virus each year.
These viruses are spread when a mosquito, or sometimes another insect carrier (vector) such as a tick or sandfly, bites an infected bird or other small animal and becomes infected, then bites a human and passes it on. Arbovirus infections are not directly passed from person-to-person but can be passed from human-to-mosquito-to-human when the level of virus in the blood of the infected human is high. Rarely, an infection may be transmitted through a blood transfusion, organ transplant, or from a mother to child through breast milk.
Arbovirus testing is used along with a person's signs, symptoms, and history of exposure and travel to detect and confirm an acute arbovirus infection and to distinguish between an infection and other conditions that may cause similar symptoms. Testing measures either antibodies produced by the body's immune system in response to a specific arbovirus infection or it detects the virus's genetic material.
Depending on the virus causing the infection, people infected by an arbovirus may have only mild to moderate flu-like symptoms that resolve within a few days to a few weeks. In some cases, a sudden onset of high fever may be accompanied by a rash (dengue fever), jaundice (yellow fever), or severe joint pain and debilitating symptoms. Depending on the virus, a person may develop severe symptoms that may be life-threatening and require hospitalization.
Examples of arboviruses include:
|Virus/Illness||Insect Carrier||Found In|
|Eastern Equine Encephalitis (EEE)||Mosquito||Eastern U.S.|
|Western Equine Encephalitis (WEE)||Mosquito||Western U.S.|
|Venezuelan Equine Encephalitis (VEE)||Mosquito||South and Central America, rarely U.S.|
|Chikungunya Fever (CHIKV)||Mosquito||Africa, Asia, some in Southern Europe|
|Ross River Virus||Mosquito||Australia|
|Yellow Fever||Mosquito||South America, Africa, rare epidemics in U.S.|
|Dengue Fever||Mosquito||South America, Asia, Tropical tourist destinations, Caribbean|
|West Nile Virus||Mosquito||Throughout U.S.|
|St. Louis Encephalitis||Mosquito||Eastern and Central U.S.|
|Powassan Encephalitis||Tick||Eastern U.S.|
|LaCrosse Virus||Mosquito||South America, Central America, Asia, Central and Eastern U.S.|
|Rift Valley Fever||Mosquito, Tick, Sandfly||Africa and Middle East|
|Crimean-Congo Hemorrhagic Fever||Tick||Asia, Africa, Europe|
|Colorado Tick Fever||Tick||Europe, U.S.|
How is the sample collected for testing?
NOTE: If undergoing medical tests makes you or someone you care for anxious, embarrassed, or even difficult to manage, you might consider reading one or more of the following articles: Coping with Test Pain, Discomfort, and Anxiety, Tips on Blood Testing, Tips to Help Children through Their Medical Tests, and Tips to Help the Elderly through Their Medical Tests.
Another article, Follow That Sample, provides a glimpse at the collection and processing of a blood sample and throat culture.
Is any test preparation needed to ensure the quality of the sample?
No test preparation is needed.
Ask a Laboratory Scientist
NOTE: This article is based on research that utilizes the sources cited here as well as the collective experience of the Lab Tests Online Editorial Review Board. This article is periodically reviewed by the Editorial Board and may be updated as a result of the review. Any new sources cited will be added to the list and distinguished from the original sources used.
(Updated 2010 August 16). Eastern Equine Encephalitis, Arboviral Diagnostic Testing. Centers for Disease Control and Prevention [On-line information]. Available online at http://www.cdc.gov/EasternEquineEncephalitis/tech/diagnosis.html through http://www.cdc.gov. Accessed February 2012.
Delgado, J. and Hillyard, D. (Updated 2012 January). Arboviruses. ARUP Consult [On-line information]. Available online at http://www.arupconsult.com/Topics/Arboviruses.html through http://www.arupconsult.com. Accessed February 2012.
(Modified 2011 October 31). Virology / Serology – Arbovirus. NC Division of Public Health, State Laboratory of Public Health [On-line information]. Available online at http://slph.ncpublichealth.com/virology-serology/arbovirus.asp through http://slph.ncpublichealth.com. Accessed February 2012.
(Updated 2011 July 6). Arbovirus. West Virginia Department of Health and Human Resources, Office of Laboratory Services [On-line information]. Available online at http://www.wvdhhr.org/labservices/labs/virology/arbovirus.cfm through http://www.wvdhhr.org. Accessed February 2012.
Hunt, M. (Modified 2010 April 9). Virology – Chapter Twenty One Arboviruses. Microbiology and Immunology On-line from University of South Carolina School of Medicine [On-line information]. Available online at http://pathmicro.med.sc.edu/mhunt/arbo.htm through http://pathmicro.med.sc.edu. Accessed February 2012.
(© 1995–2012). Test ID: ARBOP83267 Arbovirus Antibody Panel, IgG and IgM, Serum. Mayo Clinic Mayo Medical Laboratories. [On-line information]. Available online at http://www.mayomedicallaboratories.com/test-catalog/Overview/83267 through http://www.mayomedicallaboratories.com. Accessed February 2012.
Kaye, K. (Revised 2009 December). Overview of Arbovirus, Arenavirus, and Filovirus Infections. Merck Manual for Healthcare Professionals [On-line information]. Available online through http://www.merckmanuals.com. Accessed February 2012.
Jaffar-Bandjee, M. et. al. (© 2010). Emergence and Clinical Insights into the Pathology of Chikungunya Virus Infection. Medscape Today from Expert Rev Anti Infect Ther. V 8(9):987-996 [On-line information]. Available online at http://www.medscape.com/viewarticle/733879 through http://www.medscape.com. Accessed February 2012.
Busowski, M. et. al. (Updated 2011 September 15). Yellow Fever. Medscape Reference [On-line information]. Available online at http://emedicine.medscape.com/article/232244-overview through http://emedicine.medscape.com. Accessed February 2012.
Anderson, W. et. al. (Updated 2011 June 17). California Encephalitis Medscape Reference [On-line information]. Available online at http://emedicine.medscape.com/article/234159-overview through http://emedicine.medscape.com. Accessed February 2012.
Viroj Wiwanitkit, V. (2012 January 29). The Importance of Accurate Diagnosis of Dengue Fever. Medscape Today from Future Virology. 2012;7(1):53-62. [On-line information]. Available online at http://www.medscape.com/viewarticle/756315 through http://www.medscape.com. Accessed February 2012.
Wiwanitkit, V. (2010 August 18). Dengue Fever: Diagnosis and Treatment. Medscape Today from Expert Rev Anti Infect Ther. v 8(7):841-845. [On-line information]. Available online at http://www.medscape.com/viewarticle/725639 through http://www.medscape.com. Accessed February 2012.
Powers, A. (2009 September 17). Overview of Emerging Arboviruses. Medscape Today from Future Virology. V 4(4):391-401 [On-line information]. Available online at http://www.medscape.com/viewarticle/708398 through http://www.medscape.com. Accessed February 2012.
Barnard, R. et. al. (2011 June 15). Expecting the Unexpected. Medscape Today News from Expert Rev Mol Diagn. V 11(4):409-423 [On-line information]. Available online at http://www.medscape.com/viewarticle/742370 through http://www.medscape.com. Accessed February 2012.
Tomashek, K. (Updated 2011 July 1). Dengue Fever & Dengue Hemorrhagic Fever. CDC Travelers' Health, Chapter 3 Infectious Diseases Related To Travel [On-line information]. Available online at http://wwwnc.cdc.gov/travel/yellowbook/2012/chapter-3-infectious-diseases-related-to-travel/dengue-fever-and-dengue-hemorrhagic-fever.htm through http://www.cdc.gov. Accessed February 2012.