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Sorted By Test Name - Mayo Medical Laboratories

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MYCPN<br />

85107<br />

provides same-day results. The described PCR assay has replaced conventional culture for Mycoplasma<br />

hominis at <strong>Mayo</strong> <strong>Medical</strong> <strong>Laboratories</strong>.<br />

Useful For: Rapid, sensitive, and specific identification of Mycoplasma hominis from synovial fluid,<br />

genitourinary, reproductive, and lower respiratory sources<br />

Interpretation: A positive PCR result for the presence of a specific sequence found within the<br />

Mycoplasma hominis tuf gene indicates the presence of Mycoplasma hominis DNA in the specimen. A<br />

negative PCR result indicates the absence of detectable Mycoplasma hominis DNA in the specimen, but<br />

does not rule-out infection as false-negative results may occur due to the following; inhibition of PCR,<br />

sequence variability underlying the primers and/or probes, or the presence of Mycoplasma hominis in<br />

quantities less than the limit of detection of the assay.<br />

Reference Values:<br />

Not applicable<br />

Clinical References: 1. Waites KB, Taylor-Robinson D: Mycoplasma and Ureaplasma. In Manual<br />

of Clinical Microbiology. 10th edition. Edited by J Versalovic. ASM Press, Washington, DC, 2011 2.<br />

Stellrecht KA, Woron AM, Mishrik NG, Venezia RA: Comparison of multiplex PCR assay with culture<br />

detection of genital mycoplasmas. J Clin Microbiol 2003;42:1528-1533 3. Kenny GE: Genital<br />

mycoplasmas: Mycoplasma genitalium, Mycoplasma hominis, and Ureaplasma species. In Mandell,<br />

Douglas, and Bennett's Principles and Practice of Infectious Diseases. Edited by GL Mandell, et al.<br />

Churchill Livingstone, New York, 2008 4. Yoshida T, Maeda SI, Deguchi T, et al: Rapid detection of<br />

Mycoplasma genitalium, Mycoplasma hominis, Ureaplasma parvum, and Ureaplasma urealyticum<br />

organisms in genitourinary samples by PCR-microtiter plate hybridization assay. J Clin Microbiol<br />

2003;41:1850-1855 5. Cunningham SA, Shannon SK, Rosenblatt J, Patel R: Comparison of culture and<br />

rapid polymerase chain reaction detection of Mycoplasma hominis, Ureaplasma urealyticum and<br />

Ureaplasma parvum from genitourinary specimens. 48th Annual Infectious Diseases Society of America<br />

Meeting, 2010.<br />

Mycoplasma pneumoniae Antibodies, IgG and IgM, Serum<br />

Clinical Information: Mycoplasma pneumoniae is an important respiratory tract pathogen. Several<br />

syndromes have been associated with the infection including pharyngitis, tracheobronchitis, pneumonia,<br />

and inflammation of the tympanic membrane presenting as bullous myringitis. Mycoplasma pneumoniae<br />

accounts for approximately 20% of all cases of pneumonia. Classically, it causes a disease that has been<br />

described as primary atypical pneumonia. The disease is of insidious onset with fever, headache, and<br />

malaise for 2 to 4 days before the onset of respiratory symptoms. Most cases do not require<br />

hospitalization. Symptomatic infections attributable to this organism most commonly occur in children<br />

and young adults (ages 2-19 years).(1)<br />

Useful For: An aid in the diagnosis of disease associated with Mycoplasma pneumoniae<br />

Interpretation: Positive IgM results are consistent with acute infection, although false positives do<br />

occur (see Cautions). A single positive IgG result only indicates previous immunologic exposure.<br />

Negative results do not rule-out the presence of Mycoplasma pneumoniae-associated disease. The<br />

specimen may have been drawn before the appearance of detectable antibodies. If testing is performed too<br />

early following primary infection, IgG and/or IgM may not be detectable. If a Mycoplasma infection is<br />

clinically indicated, a second specimen should be submitted at least 14 days later.<br />

Reference Values:<br />

IgG<br />

< or =0.90 (negative)<br />

0.91-1.09 (equivocal)<br />

> or =1.10 (positive)<br />

IgM<br />

< or =0.90 (negative)<br />

0.91-1.09 (equivocal)<br />

Current as of January 4, 2013 7:15 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong><strong>Laboratories</strong>.com Page 1269

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