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Test ID FDERM Fungal Culture, Dermal

Useful For

Recovery and identification of dermatophyte fungi from hair, skin, and nail infection specimens

Reflex Tests

Test ID Reporting Name Available Separately Always Performed
API Yeast Ident Panel C No, (Bill Only) No
D2F D2 Fungal Sequencing Identification No, (Bill Only) No
FUNA Fungal Ident Panel A No, (Bill Only) No
FUNB Fungal Ident Panel B No, (Bill Only) No
GT Yeast Ident Panel A No, (Bill Only) No
LCCI Ident Rapid PCR Coccidioides No, (Bill Only) No
LCHB Id, Histoplasma/Blastomyces PCR No, (Bill Only) No
RAT1 Yeast Ident panel B No, (Bill Only) No
RMALF Id MALDI-TOF Mass Spec Fungi No, (Bill Only) No
RRU Yeast Ident Panel D No, (Bill Only) No
RMALY Id MALDI-TOF Mass Spec Yeast No, (Bill Only) No

Testing Algorithm

When this test is ordered, the reflex test may be performed and charged.

Method Name

Plated to mycobiotic agar

Reporting Name

Fungal Culture, Dermal

Specimen Type

Varies

Forms: If not ordering electronically, complete, print, and send a Microbiology Test Request Form (T244) with the specimen (http://www.mayomedicallaboratories.com/it-mmfiles/microbiology_test_request_form.pdf).

 

Specimen must arrive within 7 days of collection.

 

Specimen source is required.

 

Specimen Type: Hair

Container/Tube: Sterile container

Specimen Volume: 10-12

Collection Instructions: Using forceps collect affected hairs with shaft intact.

 

Specimen Type: Nails

Container/Tube: Sterile container

Specimen Volume: Entire collection

Collection Instructions:

1. Wipe the nail with 70% alcohol using gauze (not cotton).

2. Clip away a generous portion of the affected area.

3. Collect material or debris from under the nail.

 

Specimen Type: Skin

Container/Tube: Sterile container

Specimen Volume: Entire specimen

Collection Instructions:

1. Cleanse the affected area with 70% alcohol.

2. Gently scrape the surface of the skin at the active margin of the lesion, being careful to not draw blood.

Specimen Minimum Volume

NA

Specimen Stability Information

Specimen Type Temperature Time
Varies Ambient 7 days

Clinical Information

Fungal infections of keratinized tissues (hair, skin, nails) can be caused by dermatophytic fungi belonging to the genera Epidermophyton, Microsporum, and Trichophyton. Opportunistic superficial infections resembling dermatophytoses may be caused by yeasts or by unrelated filamentous fungi that are normally saprobes or plant pathogens. Dermatophytes are usually unable to penetrate deeper tissues. Infection may range from mild to severe.

Reference Values

Negative

If positive, fungus or yeast will be identified.

Cautions

Aseptic techniques should be used when collecting specimens to minimize contamination.

 

For optimal recovery of organisms, sufficient clinical material should be collected.

Day(s) Performed

Monday through Sunday; Varies

Report Available

Positive cultures reported when detected. Negative cultures reported after 30 days.

Performing Laboratory

Mayo Medical Laboratories in Rochester

Test Classification

This test uses a standard method. Its performance characteristics were determined by Mayo Clinic in a manner consistent with CLIA requirements.

CPT Code Information

87101-Fungal culture, dermal

87106-Yeast identification panel C (if appropriate)

87106-Yeast identification panel D (if appropriate)

87106-Id MALDI-TOF Mass Spec Yeast (if appropriate)

87107-Id MALDI-TOF Mass Spec Fungi (if appropriate)87107-Fungal identification panel A (if appropriate)           

87107-Fungal identification panel B (if appropriate)

87107-Yeast identification panel A (if appropriate)

87107-Yeast identification panel B (if appropriate)

87150-Identification rapid PCR coccidioides (if appropriate)

87150 x 2-Identification Histoplasma/Blastomyces, PCR (if appropriate)

87153-D2 fungal sequencing identification (if appropriate)

NY State Approved

Yes