Coccidioides Antibodies, CSF (Sendout)

General Information

Lab Name

Coccidioides Antibodies, CSF (Sendout)

Lab Code

RCCOCC

Epic Name

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

Code Name
RCCOCF Coccidioides Antibody by Complement Fixation,CSF
RCCIDG Coccidioides IgG Antibody by Immunodiffusion, CSF
RCCIDM Coccidioides IgM Antibody by Immunodiffusion, CSF

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.

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

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