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Sputum fungal smear

Definition:

A sputum fungal smear is a laboratory test that looks for fungus in a sputum sample. Sputum is the material that comes up from air passages when you cough very deeply.
Alternative Names:

KOH test; Fungal smear - sputum; Fungal wet prep; Wet prep - fungal
How the test is performed:

A sputum sample is needed. You will be asked to cough deeply and spit any material that comes up from your lung into a special container.

The sample is sent to a lab and examined under a microscope.

How to prepare for the test:

There is no special preparation.
How the test will feel:

There is no discomfort.
Why the test is performed:

Your doctor may order this test if you have symptoms or signs of a lung infection, especially if you have a weakened immune system due to certain medicines or diseases such as cancer, HIV, or AIDs.

Normal Values:

A normal (negative) result means no fungus was seen in the test sample.

Normal value ranges may vary slightly among different laboratories. Some labs use different measurements or test different samples. Talk to your doctor about the meaning of your specific test results.
What abnormal results mean:

Abnormal results may be a sign of a fungal infection. Such infections include:

An abnormal result may also be due to acute pulmonary eosinophilia (Loeffler syndrome).
What the risks are:

There are no risks associated with a sputum fungal smear.
References:

Limper AH. Overview of pneumonia. In: Goldman L, Ausiello D, eds.Cecil Medicine. 24th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 97.
Review Date: 12/6/2011
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Jatin M. Vyas, MD, PhD, Assistant Professor in Medicine, Harvard Medical School, Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2002 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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