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Test Code FUNBL Fungitell, BAL

Additional Codes

Epic# -

LAB000 (enter test name into comments)

 

Cerner name(s):

  • Miscellaneous Sendout


Specimen Required


Specimen Type: BAL

Sources: Bronchoalveolar lavage

Container/Tube: Sterile container

Specimen Volume: 1 – 3 mL

Note: Ship frozen


Secondary ID

57873

Method Name

Limulus Amebocyte Lysate (LAL) Pathway

Reporting Name

Fungitell, BAL

Specimen Type

Lavage

Specimen Minimum Volume

0.5 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Lavage Frozen (preferred) 30 days
  Refrigerated  7 days
  Ambient  4 days

Reject Due To

Hemolysis Mild reject; Gross reject
Lipemia Mild reject; Gross reject
Icterus Mild reject; Gross reject
Other NA

Clinical Information

The Fungitell Beta – D Glucan assay detects (1,3) – Beta-D-glucan from the following pathogens: Candida spp., Acremonium, Aspergillus spp., Coccidioides immitis, Fusarium spp., Histoplasma capsulatum, Trichosporon spp., Sporothrix schenckii, Saccharomyces cerevisiae, and Pneumocystis jiroveci.

 

The Fungitell Beta-D Glucan assay does not detect certain fungal species such as the genus Cryptococcus, which produces very low levels of (1,3) – Beta-D-glucan, nor the Zygomycetes, such as Absidia, Mucor, and Rhizopus, which are not known to produce (1,3) – Beta-D-glucan. Studies indicate Blastomyces dermatitidis is usually not detected due to little (1,3) – Beta-D-glucan produced in the yeast phase.

Reference Values

A reference range for specimens other than serum has not been established.

Interpretation

The performance characteristics of the Fungitell assay in BAL have been determined by Viracor-Eurofins; there are no established criteria for the interpretation of Fungitell results from BAL fluid. Research studies have evaluated the use of the Fungitell assay in BAL in both immunocompromised patients (Mycopathologia (2013) 175:33-41) and acute eosinophilic pneumonia (Chest (2003) 123:1302-1307).

Day(s) Performed

Monday through Saturday

Report Available

1 to 6 days

Performing Laboratory

Eurofins Viracor

CPT Code Information

87449

LOINC Code Information

Test ID Test Order Name Order LOINC Value
FUNBL Fungitell, BAL Not Provided

 

Result ID Test Result Name Result LOINC Value
FUNBL Fungitell, BAL Not Provided