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Sorted By Test Name - Mayo Medical Laboratories

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FBL<br />

50022<br />

FDERM<br />

87283<br />

Coccidioides ANTIBODY<br />

Complement fixation: negative<br />

If positive, results are titered.<br />

Immunodiffusion: negative<br />

Results are reported as positive, negative, or equivocal.<br />

Cryptococcus ANTIGEN SCREEN<br />

Negative<br />

If positive, results are titered under the reflex test.<br />

Histoplasma ANTIBODY<br />

Mycelial by complement fixation: negative<br />

Positives are reported as titer.<br />

Yeast by complement fixation: negative<br />

Positives are reported as titer.<br />

Antibody by immunodiffusion: negative<br />

Positives are reported as band present.<br />

Clinical References: Kaufman L, Kovacs JA, Reiss E: Clinical immunomycology. In Manual of<br />

Clinical and Laboratory Immunology. Washington, DC. ASM Press, 1997<br />

Fungal Culture, Blood<br />

Clinical Information: Due to the high mortality rate from fungemia, the expeditious detection and<br />

identification of fungi from the patient's blood can have great diagnostic prognostic importance. Risk<br />

factors for fungemia include, but are not limited to, extremes of age, immunosuppression, and those<br />

individuals with burns or indwelling intravascular devices.<br />

Useful For: Blood cultures are essential in the diagnosis and treatment of the etiologic agents of<br />

fungemia. Fungal blood cultures should be requested on a select patient population that presents with<br />

signs and symptoms of sepsis, especially fever of unknown origin.<br />

Interpretation: Positive cultures are usually an indication of infection and are reported as soon as<br />

detected. Correlation of culture results and the clinical situation is required for optimal patient<br />

management. A final negative report is issued after 30 days of incubation.<br />

Reference Values:<br />

Negative<br />

If positive, notification is made as soon as the positive culture is detected or identified.<br />

Clinical References: 1. Reimer LG, Wilson ML, Weinstein MP: Update on Detection of Bacteremia<br />

and Fungemia. Clin Microbiol Rev 1997;10:444-465 2. Procop GW, Cockerill FR III, Vetter EA, et al:<br />

Performance of five agar media for recovery of fungi from isolator blood cultures. J Clin Micro<br />

2000;38(10):3827-3829<br />

Fungal Culture, Dermal<br />

Clinical Information: Fungal infections of keratinized tissues (hair, skin, nails) can be caused by<br />

dermatophytic fungi belonging to the genera Epidermophyton, Microsporum, and Trichophyton.<br />

Opportunistic superficial infections resembling dermatophytoses may be caused by yeasts or by unrelated<br />

filamentous fungi that are normally saprobes or plant pathogens. Dermatophytes are usually unable to<br />

penetrate deeper tissues. Infection may range from mild to severe.<br />

Useful For: Recovery and identification of dermatophyte fungi from hair, skin, and nail infection<br />

specimens<br />

Interpretation: Positive cultures are reported with organism identification. Negative reports are issued<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 777

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