Histoplasma Antigen, Urine (Sendout)

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General Information

Lab Name
Histoplasma Antigen, URN
Lab Code
RHSTOU
Epic Ordering
Histoplasma antigen, Urine (Sendout)
External Test Id
HSTQU
Description

Useful For:

  • Aiding in the diagnosis of Histoplasma capsulatum infection
  • Monitoring Histoplasma antigen levels in urine
References
  1. Mayo Clinic Laboratories Histoplasma Antigen, Urine Clinical & Interpretive Information
Synonyms
Histoplasma capsulatum, Histoplasma galactomannan antigen, Histoplasma Polysaccharides, HSTQU
Components

Interpretation

Method

Enzyme Immunoassay (EIA)

Reference Range
See individual components
Ref. Range Notes

Reference Values:

Histoplasma Antigen Result: Not Detected
Histoplasma Antigen Value: Not Detected

Histoplasma Antigen Value Interpretation:

  • Not Detected: No Histoplasma antigen detected. False-negative results may occur. Repeat testing on a new specimen should be considered if clinically indicated.
  • Detected, <0.2 ng/mL: Histoplasma antigen detected below the limit of quantification (<0.2 ng/mL). Results should be correlated with clinical presentation, exposure history and other diagnostic procedures, including culture, serology, histopathology, and radiographic findings. False-positive results may occur in patients with other fungal infections, including Blastomyces.
  • Detected: Histoplasma antigen detected. The reportable range of this assay is 0.2 to 25.0 ng/mL. Results should be correlated with clinical presentation, exposure history, and other diagnostic procedures, including culture, serology, histopathology, and radiographic findings. False-positive results may occur in patients with other fungal infections, including Blastomyces.
  • Detected, >25 ng/mL: Histoplasma antigen detected above the limit of quantification (>25.0 ng/mL). Results should be correlated with clinical presentation, exposure history, and other diagnostic procedures, including culture, serology, histopathology, and radiographic findings. False-positive results may occur in patients with other fungal infections, including Blastomyces.
Interferences and Limitations

Cautions:

Cross-reactivity with other fungal infections, including Blastomyces dermatitidis, may occur. Positive results should be correlated with other clinical and laboratory findings (eg, culture, serology).

Low-level positive titers may persist following resolution of infection and completion of appropriate treatment regimen.

Turbid urine specimens, containing excess protein, cells, or particulate matter, can inhibit the function of the test.

References
  1. Mayo Clinic Laboratories Histoplasma Antigen, Urine Clinical & Interpretive Information
Guidelines

Ordering & Collection

Specimen Type
Urine
Collection

Collect 5 mL random urine in a sterile, screw-cap container (preservative-free).

Handling Instructions

Outside Laboratories: Transfer 4 mL urine to a sterile, screw-capped vial and refrigerate. Specimen should not be centrifuged.

Stability: Refrigerated (preferred): 14 days; Frozen: 31 days; Ambient: 72 hours.

Reject Due To: gross hemolysis, turbid colored.

Quantity
requested: 4 mL Urine
minimum: 2.5 mL Urine

Processing

Processing

Transfer urine to a screw-capped vial and refrigerate. Do not centrifuge.

Sendouts:

  • Order Mayo test: HSTQU.
  • Interfaced: Yes.

Stability: Refrigerated (preferred): 14 days; Frozen: 31 days; Ambient: 72 hours.

Reject Due To: gross hemolysis, turbid colored.

Performance

LIS Dept Code
Sendouts Mayo Lab (RF) (MARF)
Performing Location(s)
Sendout Mayo Clinic Laboratories (Superior Drive)
800-533-1710

3050 Superior Drive NW
Rochester, MN 55901

Frequency
Performed: Monday - Sunday. Report Available: 1-3 days.
Available STAT?
No

Billing & Coding

CPT codes
87385
LOINC
44524-7
Interfaced Order Code
UOW3887