Urine Test

Lyme & Co-Infection Panel

DNA Connexions Lyme Panel

The DNA Connexions Lyme Panel tests for four different genes found in Borrelia burgdorferi, the most common cause of Lyme disease in the U.S., plus 8 common tick-borne co-infections: Babesia microti, Babesia divergens, Babesia duncani, Bartonella bacilliformis, Bartonella henselae, Bartonella quintana, Borrelia miyamotoi, Borrelia recurrentis, Ehrlichia chaffensis, and Anaplasma phagocytophilum. Testing for co-infectors also indicates likely exposure to the Lyme spirochete itself.

Sample
Urine
Collection
Post-provocation · at-home
Turnaround
10 business days
Lab
DNA Connexions
Urine Test
Lyme & Co-Infection Panel - view 1
Lyme & Co-Infection Panel - view 2
Best for
Persistent fatigue / pain Tick-bite history Unexplained inflammation
What it measures

The 12 pathogens this panel direct-tests for.

The Borrelia signal is supplemented by eight tick-borne co-infectors. Detection of any co-infector strongly suggests likely exposure to the Lyme spirochete as well.
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Borrelia burgdorferi
Four distinct gene targets for the spirochete that causes the majority of Lyme disease cases in the United States.
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Borrelia miyamotoi
A relapsing-fever group Borrelia carried by the same Ixodes ticks that transmit B. burgdorferi.
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Borrelia recurrentis
The classic louse-borne relapsing fever spirochete, included to capture rarer Borrelia exposure.
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Babesia microti
The most common Babesia in U.S. patients, a malaria-like protozoan that hides inside red blood cells.
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Babesia divergens
A European Babesia species now appearing in U.S. cases, particularly severe in splenectomised patients.
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Babesia duncani
A West Coast Babesia originally called WA-1, often missed by standard Babesia testing.
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Bartonella henselae
Cat-scratch disease agent, implicated in chronic neurological, vascular, and psychiatric Lyme co-presentations.
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Bartonella quintana
Trench-fever Bartonella; relapsing fevers, endocarditis, and chronic bacteremia.
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Bartonella bacilliformis
Carrión disease agent, included to broaden Bartonella coverage in cases with travel history.
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Ehrlichia chaffeensis
Cause of human monocytic ehrlichiosis, flu-like illness that can become severe in immunocompromised patients.
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Anaplasma phagocytophilum
Causes human granulocytic anaplasmosis; carried by the same Ixodes ticks as Lyme.
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Direct PCR detection
All targets run by qualitative PCR on a urine sample. Detection is not dependent on the stage of infection or your antibody response.
Why DNA Testing?

DNA testing detects active infection. Antibody testing doesn't.

Direct method
DNA Direct Testing

The DNA ConneXions® assay is a direct testing method, it detects the actual DNA of the causative organism. It is not dependent on the stage of infection or the patient's immune response.

Antibody Testing

Antibody testing is an indirect method that detects antibodies produced in response to an infection, not the infection itself. This means a positive result could reflect a past exposure, not a current active infection.

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For example: if you had chicken pox as a child, your body still carries those antibodies today, meaning an antibody test would show positive even though the infection is long gone. Antibody testing tells you about exposure. DNA testing tells you about active infection.

Why Lyme & Co-Infection Panel

Antibody testing only tells us your body was exposed at some point. A positive antibody result is like still carrying chicken-pox antibodies decades after the rash cleared. DNA Connexions detects pathogen DNA directly, so a positive means the infection is active, not historical.

Knowledge is Power

Understanding your results.

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Positive result

A positive PCR result indicates the presence of DNA from B. burgdorferi and/or other co-infectors in the sample. This means the infection is active, not historical.

Negative result

A negative result does not prove the absence of infection. A patient's ability to fight disease, the stage of infection, and the timing of antibiotics are all factors that may affect the detectability of spirochete DNA.

Sample Collection

Watch: how to collect

Follow along with this step-by-step video before you begin.

How to order

Four steps from inquiry to inbox.

  1. 01
    Send us an inquiry

    Use the inquiry widget on this page. Select the test(s) you want, click "Open the inquiry form", your email app will open with your selections pre-filled. Add your name and shipping address, then hit send.

  2. 02
    We confirm pricing and place your order

    We'll reply within 1–2 business days with pricing and confirm your order. Insurance is not accepted. If ordering for multiple people, please place one order per person.

  3. 03
    Kit ships to your door

    We can only ship to residential addresses, no PO boxes. Collect your sample at home and drop it back at the carrier using the included prepaid return label (U.S. orders).

  4. 04
    Results emailed back to you

    DNA Connexions returns the report in about 10 business days; we forward it to you. A positive PCR result indicates active infection. A negative result does not prove the absence of infection, many factors affect detectability.

Lab inquiry
Select the test you'd like a kit for
We'll reply by email with pricing and next steps.
Insurance not accepted. Kits cannot ship to PO boxes.
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Important notes

  • A positive PCR result indicates the presence of pathogen DNA, an active infection.
  • A negative result does not prove the patient is uninfected; stage of infection, immune status, and recent antibiotic use all affect DNA detectability.
  • Detection of any co-infector strongly suggests likely exposure to the Lyme spirochete as well.
  • We cannot ship lab kits to PO boxes. Please provide a residential address.
  • We do not work with insurance for lab orders.
  • Lab kits are non-refundable once shipped due to dispatch fees.
  • Interpretation must be done by a qualified Lyme-literate practitioner.
  • Total turnaround from order to report is typically 3–4 weeks accounting for shipping and lab queue.
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