Coccidioides Antibodies, CSF (Sendout)

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General Information

Lab Name
Coccidioides Antibodies, CSF (Sendout)
Lab Code
RCCOCC
Epic Ordering
Coccidioides Antibodies, CSF (Sendout)
External Test Id
CCOC
Description

Useful For: Diagnosing coccidioidomycosis using spinal fluid specimens.

References
Synonyms
CCOC, Coccidioides Spinal Fluid, San Joaquin Valley Fever CSF, Valley Fever CSF
Components

Interpretation

Method

Complement Fixation (CF), Immunodiffusion (ID)

Reference Range
See individual components
Ref. Range Notes

Interpretation:

  • Complement Fixation: IgG antibody is detected by complement fixation (CF) testing. Any CF titer in cerebrospinal fluid (CSF) should be considered significant. A positive complement fixation test in un-concentrated CSF is diagnostic of meningitis.
  • Immunodiffusion: IgM and IgG precipitins are rarely found in CSF. However, when present, they are diagnostic of meningitis (100% specific). Since the immunodiffusion test is 100% specific, it is helpful in interpreting CF results.
Interferences and Limitations

Cautions: While complement fixation (CF) titers may be present in serum months after the infection has resolved, any CF titer in spinal fluid should be considered significant.

References
Guidelines

Ordering & Collection

Specimen Type
CSF
Collection

Collect 2 mL CSF in a sterile container.

Handling Instructions

Outside Laboratories: Submit 2 mL refrigerated CSF in a sterile vial.

Stability: Refrigerated (preferred): 14 days; Frozen: 14 days; Ambient: Unacceptable.

Quantity
requested: 2 mL CSF
minimum: 1.2 mL CSF

Processing

Processing

Refrigerate CSF in a sterile vial.

Sendouts:

  • Order Mayo Test: CCOC.
  • Interfaced: Yes.

Stability: Refrigerated (preferred): 14 days; Frozen: 14 days; Ambient: Unacceptable.

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- Friday. Report Available: 3-6 days.
Available STAT?
No

Billing & Coding

CPT codes
86635x3
LOINC
88745-5
Interfaced Order Code
UOW4710