COCCIDIOIDES ANTIBODY IMMUNODIFFUSION
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Test Code
320
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CPT Code
86635 x2
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Clinical Significance
Pneumocystis cannot be cultured in vitro and has classically been diagnosed based upon clinical symptoms and radiographic findings with confirmation via microscopic visualization of stained organisms which has lower sensitivity that is reliant upon reader expertise. This polymerase chain reaction assay can provide rapid and specific detection and differentiation of Histoplasma capsulatum directly from clinical specimens.
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Methodology
Fungal Immunodiffusion
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Limitations
The result is not intended to be used as the sole means for clinical diagnosis or patient management decisions.
- Cross-reactions can occur with Histoplasma capsulatum.
- False positive anti-Coccidioides TP band results may occur in patients diagnosed with Cystic Fibrosis.
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Specimen Collection
Serum/Plasma: Separated from the clot in a leak-proof conatiner.
CSF: Sterile leak-proof container.
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Minimum Specimen Requirements
Serum/Plasma*/CSF*: 0.25 mL per antibody
* Reported with rare specimen comment applied.
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Specimen Stability
- Refrigerated: 3 days
- Frozen: indefinite
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Specimen Rejection
Any specimen types other than serum, plasma, or CSF.
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Transport Temperature
Refrigerated/Frozen
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Shipping
Ship on dry ice to arrive Monday‐Friday using a next day delivery service. Frozen ice packs may be substituted if sample is shipped the day of collection.
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Turnaround Time
2 days from set up date.
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Reference Range
- Antibody not detected
- Will report F and TP specific
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Interpretative Information
- Negative: Antibody not detected
- Positive: Antibody detected, will report titer up to ≥1:128
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Additional Information
- Antibodies to the TP antigen are typically detectable within 4 weeks of primary onset of infection, but are rarely detected 6 months after infection. The presence of antibodies to the TP antigen may suggest recent or active infection.
- Antibodies to the F antigen are typically detectable by 6 weeks after the primary onset of the infection and may persist for several months to years.
* New positives may require confirmation.
** Turnaround times are provided as ranges, and may vary depending on daily testing volumes and specimen type.
*** Test set up: Samples received by 10:30AM will have same-day test set up. Positive samples may require confirmation which may extend turnaround time. Serum & CSF specimens are pretreated to improve sensitivity which can add one day to turnaround time.