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Sputum fungal smear
KOH test; Fungal smear - sputum; Fungal wet prep; Wet prep - fungal
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 deeply.
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 lungs 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 health care provider 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 or HIV/AIDS.
Normal Results
A normal (negative) result means no fungus was seen in the test sample.
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:
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Aspergillosis
Aspergillosis
Aspergillosis is an infection or allergic response due to the Aspergillus fungus.
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Blastomycosis
Blastomycosis
Blastomycosis is an infection caused by breathing in the Blastomyces dermatitidis fungus. The fungus is found in decaying wood and soil.
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Coccidioidomycosis
Coccidioidomycosis
Valley fever is an infection that occurs when the spores of the fungus Coccidioides immitis enter your body through the lungs.
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Cryptococcosis
Cryptococcosis
Cryptococcosis is infection with the fungi Cryptococcus neoformans and Cryptococcus gattii.
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Histoplasmosis
Histoplasmosis
Histoplasmosis is an infection that occurs from breathing in the spores of the fungus Histoplasma capsulatum.
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Risks
There are no risks associated with a sputum fungal smear.
References
Chernecky CC, Berger BJ. Sputum, fungus - culture. In: Chernecky CC, Berger BJ, eds. Laboratory Tests and Diagnostic Procedures . 6th ed. Philadelphia, PA: Elsevier Saunders; 2013:1038-9.
Horan-Saullo JL, Alexander BD. Opportunistic mycoses. In: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray and Nadel's Textbook of Respiratory Medicine . 6th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 38.
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Sputum test - illustration
A sputum sample is obtained by coughing deeply and expelling the material that comes from the lungs into a specimen container. The sample is transferred to a slide and examined under a microscope. A positive result indicates a fungal infection in the lungs.
Sputum test
illustration
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Sputum test - illustration
A sputum sample is obtained by coughing deeply and expelling the material that comes from the lungs into a specimen container. The sample is transferred to a slide and examined under a microscope. A positive result indicates a fungal infection in the lungs.
Sputum test
illustration
Review Date: 12/10/2015
Reviewed By: 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, Boston, MA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
