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Mayo Test Catalog, (Sorted By Test Name) - Mayo Medical ...

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SPN<br />

8047<br />

FPOLC<br />

57265<br />

sensitive (21% more sensitive than direct detection using fluorescent calcofluor white stain), specific,<br />

and objective detection of Pneumocystis from bronchoalveolar lavage fluid and other specimens.<br />

Useful For: Preferred test for detection of Pneumocystis<br />

Interpretation: A positive result indicates the presence of Pneumocystis DNA. A negative result<br />

indicates the absence of detectable Pneumocystis DNA.<br />

Reference Values:<br />

Not applicable<br />

Clinical References: 1. Cushion MT: Pneumocystis. In Manual of Clinical Microbiology. 8th<br />

edition. Edited by PR Murray, EJ Baron, JH Jorgensen, et al: Washington, DC, ASM Press, 2003, pp<br />

1712-1725 2. Maskell NA, Waine DJ, Lindley A, et al: Asymptomatic carriage of Pneumocystis jiroveci<br />

in subjects undergoing bronchoscopy: a prospective study. Thorax July 2003;58(7):594-597 3. Miller RF,<br />

Ambrose HE, Wakefield AE: Pneumocystis carinii f. sp. hominis DNA in immunocompetent health care<br />

workers in contact with patients with P. carinii pneumonia. J. Clin. Microbiol November<br />

2001;39(11):3877-3882 4. Takahashi T, Goto M, Endo T, et al: Pneumocystis carinii carriage in<br />

immunocompromised patients with and without human immunodeficiency virus infection. J Med<br />

Microbiol July 2002;51(7):611-614 5. Vargas SL, Hughes WT, Santolaya ME, et al: Search for primary<br />

infection by Pneumocystis carinii in a cohort of normal, healthy infants. Clin Infect Dis March<br />

2001;32(6):855-861 6. Wakefield AE, Lindley AR, Ambrose HE, et al: Limited asymptomatic carriage of<br />

Pneumocystis jiroveci in human immunodeficiency virus-infected patients. J Infect Dis<br />

2003;187(6):901-908<br />

Pneumocystis Smear<br />

Clinical Information: Pneumocystis jiroveci is one of the major microbial pathogens associated with<br />

opportunistic pulmonary infections in patients receiving immunosuppressive therapy or with immune<br />

deficiencies. Presently, the most common means to diagnose P. jiroveci infection is by microscopic<br />

detection of the organisms in specimens such as bronchoalveolar lavage, open lung biopsy tissue, induced<br />

sputum and transtracheal aspirate.<br />

Useful For: Diagnosis of Pneumocystis jiroveci pneumonia<br />

Interpretation: Negative: no cysts observed Positive: cysts present<br />

Reference Values:<br />

Negative<br />

Clinical References: 1. Olsson M, Elvin K, Linder E, et al: [Pneumocystis carinii is still a dangerous<br />

opportunist. The infection is continuously a threat to immunocompromised patients]. [Review] [60 refs]<br />

[Swedish] [Journal Article. Review, Tutorial] Lakartidningen 1999 Jan27;96(4):328-31 2. Shelhamer JH,<br />

Gill VJ, Quinn TC, et al: The laboratory evaluation of opportunistic pulmonary infections. [Review] [94<br />

refs] [Consensus Development Conference, NIH. Journal Article. Review] Annals of Internal Medicine<br />

1996 Mar 15;124(6):585-99 3. Kim YK, Parulekar S, Yu PK, et al: Evaluation of Calcofluor white stain<br />

for detection of Pneumocystis carinii. Diagn Microbio Infect Dis 1990;13:307-310. Baselski VS, Robison<br />

MK, Pifer LW, Woods DR: Rapid detection of Pneumocystis carinii in bronchoalveolar lavage samples<br />

by using Cellufluor staining. J Clin Microbiol 1990;28:393-394.<br />

Poliovirus (Types 1-3) Ab, CSF<br />

Reference Values:<br />

REFERENCE RANGE:

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