ARUP's Laboratory Test Directory

Histoplasma Antibodies by CF : 0050625

Mnemonic: HISTO

Methodology: Complement Fixation
Performed: Sun-Fri
Reported: 2-4 days
Specimen Required: Collect:  One 4 mL serum separator tube.

Transport:  1 mL serum at 2-8°C. (Min: 0.5 mL)  Submit specimen in an ARUP Standard Transport Tube.

Pediatric Collection/Transport:  0.3 mL serum at 2-8°C.

Remarks:  Separate serum from cells ASAP. Acute and convalescent specimens must be labeled as such; parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of acute specimens. Please mark specimens plainly as "acute" or "convalescent."

Unacceptable Conditions:  Severely lipemic or contaminated specimens.

Stability:  After separation from cells: Ambient: 2 days; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
Reference Interval:
 
Test Number Components Reference Interval
 Histoplasma Mycelia Antibody by CF < 1:8
 Histoplasma Yeast Antibody by CF < 1:8

Interpretive Data: An antibody titer greater than or equal to 1:8  is generally considered presumptive evidence of histoplasmosis. Greater than 1:32 or rising titers indicate strong presumptive evidence of histoplasmosis.

Yeast phase is regarded as more sensitive. Approximately 90-95% of cases have positive titers to one or both antigens. Titers to mycelial antigen are higher in chronic infection. Cross-reactions, usually at lower titers, may occur with other fungal disease. Rising titers suggest progression of infection. Skin tests in individuals previously exposed may cause titer elevation in 17-20% of cases.
Note: Negative fungal serology does not rule out the possibility of current infection.
CPT Code(s): 86698 Histoplasma  mycelia; 86698 Histoplasma  yeast
 
 

 

 

 
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