Antistreptolysin O (ASO) Titer Report Format

Pathology
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What is the ASO Test?

The Antistreptolysin O (ASO) test measures antibodies produced against streptolysin O, a toxin released by Streptococcus pyogenes. It helps detect recent or past streptococcal infections.

What is an ASO Titer Report Format?

An ASO titer report presents the level of ASO antibodies in the blood to assist in diagnosing conditions like rheumatic fever, glomerulonephritis, or post-streptococcal arthritis.

Tests Included in ASO Titer Report

Test

Description

ASO Titer

Measures the concentration of antistreptolysin O antibodies to indicate recent streptococcal exposure.

Key Parts of an ASO Titer Report

Key Part

Description

ASO Level

Reports the antibody titer in IU/mL or Todd units.

Reference Range

Defines the expected values for healthy individuals.

Clinical Context

Notes symptoms like joint pain, sore throat, or cardiac involvement.

Interpretation

Indicates whether the result suggests a past or recent strep infection.

Normal Range for ASO Titer Report

Category

Normal Range

Children

<150 IU/mL

Adults

<200 IU/mL

Parameters to Consider in ASO Titer Report

Parameter

Interpretation

Elevated ASO

Suggests recent group A streptococcal infection.

Persistently High

May indicate post-infectious complications such as rheumatic fever.

Declining Titer

Suggests resolving infection over time.

Single vs. Paired

Paired testing shows rising titers, indicating active or recent infection.

Guidelines for ASO Titer Report Format

Guideline

Description

Standard Units

Report ASO in IU/mL or Todd units consistently.

Timing of Test

Optimal 2–4 weeks after streptococcal infection for reliable results.

Clinical Correlation

Always interpret results alongside symptoms, ESR, CRP, or throat culture.

What Do the Results Mean?

Result Type

Interpretation

High ASO Titer

Reflects past or recent strep infection, often linked to post-infectious complications.

Normal ASO Titer

No significant antibody response; may rule out recent streptococcal exposure.

Rising Titer

Indicates an ongoing immune response to a current or recent infection.

ASO Titer Report Interpretation

Test

Interpretation

ASO Titer

Detects immune response to streptococcal infection and supports diagnosis of related complications.

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