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

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BRUC<br />

8077<br />

BRUCB<br />

87345<br />

recent infection is suspected, a new specimen should be tested after 7 to 14 days.<br />

Reference Values:<br />

IgG SCREEN<br />

Negative (reported as positive, negative, or equivocal)<br />

IgM SCREEN<br />

Negative (reported as positive, negative, or equivocal)<br />

Clinical References: 1. Corbel MJ: Brucellosis: an overview. Emerg Infect Dis 1997;3:213-221 2.<br />

Public health consequences of a false-positive laboratory test result for Brucella--Florida, Georgia, and<br />

Michigan, 2005, MMWR Morb Mortal Wkly Rep June 6;2008/57(22);603-605 3. Araj GF, Lulu AR,<br />

Saadah MA, et al: Rapid diagnosis of central nervous system brucellosis by ELISA. J Neuroimmunol<br />

1986;12:173-182<br />

Brucella Culture<br />

Clinical Information: Brucella are facultative intracellular gram negative staining bacilli capable<br />

of producing the disease "brucellosis" in humans. Human disease likely is acquired by contact with<br />

animals infected with the organism (Brucella abortus, Brucella suis, Brucella melitensis, and<br />

occasionally Brucella canis) either by direct contact or by ingestion of meat or milk. The signs and<br />

symptoms associated with brucellosis may include fever, night sweats, chills, weakness, malaise,<br />

headache, and anorexia. The physical examination may reveal lymphadenopathy and<br />

hepatosplenomegaly. A definitive diagnosis of brucellosis is made by recovering the organism from<br />

blood, fluid (including urine), or tissue specimens.<br />

Useful For: Diagnosis of brucellosis<br />

Interpretation: Isolation of a Brucella species indicates infection. Cultures of blood and/or bone<br />

marrow are positive in 70% to 90% of acute Brucella infections, but much less so in subacute or chronic<br />

infections. In these latter instances, culture yield is highest from the specific tissue involved, or serology<br />

may be necessary to establish diagnosis<br />

Reference Values:<br />

Negative (reported as positive or negative)<br />

Clinical References: Mandell GL, Bennett JE, Dolin R: Mandell, Douglas, and Bennett's<br />

Principles and Practice of Infectious Diseases. 4th edition. New York, Churchill Livingstone, 1995, pp<br />

2053-2060<br />

Brucella Culture, Blood<br />

Clinical Information: Brucella are facultative intracellular gram negative staining bacilli capable<br />

of producing the disease "brucellosis" in humans. Human disease likely is acquired by contact with<br />

animals infected with the organism (Brucella abortus, Brucella suis, Brucella melitensis, and<br />

occasionally Brucella canis) either by direct contact or by ingestion of meat or milk. The signs and<br />

symptoms associated with brucellosis may include fever, night sweats, chills, weakness, malaise,<br />

headache, and anorexia. The physical examination may reveal lymphadenopathy and<br />

hepatosplenomegaly. A definitive diagnosis of brucellosis is made by recovering the organism from<br />

blood, fluid (including urine), or tissue specimens.<br />

Useful For: Diagnosis of brucellosis<br />

Interpretation: Isolation of a Brucella species indicates infection. Cultures of blood and/or bone<br />

marrow are positive in 70% to 90% of acute Brucella infections, but much less so in subacute or chronic<br />

infections. In these latter instances, culture yield is highest from the specific tissue involved, or serology<br />

may be necessary to establish diagnosis<br />

Current as of January 3, 2013 2:22 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong>Laboratories.com Page 299

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