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🕷️ Get your tick tested

If you still have the tick, don't throw it away.

A removed tick can be identified and tested for pathogen DNA. The Pennsylvania Tick Research Lab at East Stroudsburg University offers qPCR-based testing and reports results after the specimen reaches the laboratory. The result is information about the tick—not a diagnosis of the person who was bitten.

Tick on a leaf
Pennsylvania Tick Research Lab

What the lab can tell you

PA Tick Research Lab describes itself as a university-affiliated laboratory in East Stroudsburg, Pennsylvania. Its public materials state that it uses real-time/qPCR methods to detect pathogen genetic material in submitted ticks. The lab's current About page says its testing can detect 18 pathogens, while its FAQ and current panels may describe additional targets. Because test menus can change, verify the laboratory's current pathogen panel before ordering.

Current panels include organisms associated with Lyme disease, anaplasmosis, babesiosis, Borrelia miyamotoi, ehrlichiosis, Rocky Mountain spotted fever, tularemia, and other pathogens depending on tick species and panel. The laboratory also offers tick identification. See current pathogen panels ↗

Important distinction: PCR can detect pathogen DNA in a tick. That does not prove that a viable organism was transmitted to the person, that the exposure caused illness, or that treatment is needed. A negative tick result also cannot exclude a different tick exposure or a pathogen not included in the panel.

My own tick-test result

I used this laboratory for the deer tick involved in my own story. The report found Babesia general species POSITIVE and specifically Babesia odocoilei POSITIVE. The same specimen was negative for Babesia microti and Babesia duncani. I am posting the actual report so readers can see exactly what the laboratory reported rather than relying on my summary.

Original document: The public PDF has only my street address, email address and phone number redacted. The pathogen results and the laboratory's warning that a positive tick test does not prove transmission are unchanged.

What to do with the tick

  1. Remove it mechanically. Use clean fine-tipped tweezers or a tick-removal tool. Grasp as close to the skin as possible and pull steadily upward.
  2. Do not burn, crush, twist, smother, or coat it. Heat and chemicals can damage the specimen, and attempts to make an attached tick detach can increase manipulation of the tick.
  3. Put it in a sealed plastic bag. A special collection kit is not required by the PA lab.
  4. Order the test through the lab's website. Choose the current panel that fits the tick and the information you want.
  5. Mail the specimen with the required order information. Follow the current mailing directions the lab provides after ordering.
  6. Read the result as exposure information. Share clinically relevant information with a healthcare professional if symptoms develop or if there are questions about prophylaxis or testing.

The tick does not have to be alive

The PA Tick Research Lab states that dead or damaged ticks can generally still be tested, and that there is no strict time limit for testing. A burned tick or a tick coated in a substance may be unsuitable because those treatments can interfere with DNA testing. The lab says routine results are generally returned within three business days (about 72 hours) after receipt. Read the lab instructions ↗

Why test a tick if it cannot diagnose you?

There is still a practical reason some people want the information: identifying the tick species and the organisms detected in it can document what was present in the specific specimen that bit them. That information can be useful context in a conversation with a clinician, especially when several pathogens circulate in the same region.

But clinical guidelines draw a hard line between tick testing and human diagnosis. CDC cautions against using commercial tick-test results to decide whether to take antibiotics because a positive tick does not establish transmission and a negative tick can provide false reassurance. The IDSA/AAN/ACR Lyme guideline recommends tick species identification, but recommends against testing a removed Ixodes tick for B. burgdorferi to predict human infection. CDC tick-bite guidance ↗ IDSA Lyme guideline ↗

What might be detected?

Use the result to learn what you should read about next.

Babesia

Red-blood-cell parasites that can cause babesiosis. The Babesia guide covers species, symptoms, hemolysis, smear/PCR testing and standard treatment.

Babesia guide

Lyme disease

Borrelia burgdorferi and related Lyme borreliae cause a multisystem infection with characteristic early and disseminated manifestations.

Lyme guide

Anaplasma / Ehrlichia

Intracellular bacteria that can cause acute febrile illness with low blood counts and liver-enzyme abnormalities.

See infection guides

B. miyamotoi

A relapsing-fever Borrelia transmitted by hard-bodied Ixodes ticks.

B. miyamotoi guide

Rickettsia / RMSF

Some spotted-fever rickettsioses can become severe quickly. Treatment decisions should not wait for tick testing.

RMSF guide

Bartonella

Some tick labs detect Bartonella DNA, but CDC states that transmission of Bartonella to people by tick bites has not been established.

Bartonella guide

Sources

Pennsylvania Tick Research Lab — About

Lab affiliation, qPCR-based testing, pathogen panel and turnaround description.

Read source ↗
Pennsylvania Tick Research Lab — Test My Tick

Specimen handling, dead/damaged ticks, sealed bag and removal instructions.

Read source ↗
CDC — Tick Bite: What to Do

Why tick-test results should not be used alone to make antibiotic-treatment decisions.

Read source ↗
AAN/ACR/IDSA Lyme disease guideline

Recommends tick identification; explains why testing a removed Ixodes tick for B. burgdorferi does not reliably predict human infection.

Read source ↗
After removal • affiliate links

Saving and inspecting the tick

If the tick has already been removed, these supplies can help you keep the specimen sealed and inspect it before identification or laboratory testing. Browse all recommended products →

Small Clear Resealable Specimen BagsRecommended resource

Small Clear Resealable Specimen Bags

Small clear zip bags useful for keeping a removed tick sealed for identification or testing. Label the bag with the bite date and location.

View specimen bags on Amazon
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Carson MagniGrip Lighted Magnifier + TweezersRecommended resource

Carson MagniGrip Lighted Magnifier + Tweezers

A compact illuminated magnifier with precision tweezers that can make tiny nymphal ticks easier to see and handle.

View magnifier on Amazon
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Amazon disclosure: As an Amazon Associate I earn from qualifying purchases. Buying through an affiliate link may earn Beat Babesia a commission at no additional cost to you.
Products I used + practical support

Products worth knowing about

Cryptolepis and artemisinin are the two products I personally used during my Babesia experience. I am sharing what I used, not prescribing a treatment. The other items are practical support products people may find useful while keeping track of medications, supplements, and hydration.

Cryptolepis sanguinolentaWhat I personally used

Cryptolepis sanguinolenta

The Cryptolepis product I personally used. See the Cryptolepis page for the research, limitations, and my experience.

View Cryptolepis on Amazon
Amazon affiliate link
ArtemisininWhat I personally used

Artemisinin

The artemisinin product I personally used. See the Artemisinin page for the research, limitations, and my experience.

View Artemisinin on Amazon
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Sukuos large weekly AM PM pill organizerPractical support

Large weekly pill organizer

A simple way to keep prescriptions and supplements organized when a routine gets complicated.

View pill organizer on Amazon
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Liquid I.V. Hydration Multiplier electrolyte drink mixPractical support

Hydration / electrolyte packets

Convenient hydration support for people who want an easy electrolyte option. This is not a Babesia treatment.

View hydration packets on Amazon
Amazon affiliate link
Amazon disclosure: As an Amazon Associate I earn from qualifying purchases. Buying through an affiliate link may earn Beat Babesia a commission at no additional cost to you.