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.
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.
Fungal infections are caused by microscopic organisms (fungi) that can live on the skin. They can live on the dead tissues of the hair, nails, and outer skin layers.
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, such as 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:
Risks
There are no risks associated with a sputum fungal smear.
References
Banaei N, Deresinski SC, Pinsky BA. Microbiologic diagnosis of lung infection. In: Broaddus VC, Ernst JD, King TE, et al, eds. Murray and Nadel's Textbook of Respiratory Medicine. 7th ed. Philadelphia, PA: Elsevier; 2022:chap 19.
Saullo JL, Alexander BD. Fungal infections: opportunistic. In: Broaddus VC, King TE, Ernst JD, et al, eds. Murray and Nadel's Textbook of Respiratory Medicine. 7th ed. Philadelphia, PA: Elsevier; 2022:chap 57.
Version Info
Last reviewed on: 11/23/2021
Reviewed by: Jatin M. Vyas, MD, PhD, Associate Professor in Medicine, Harvard Medical School; Associate in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital, Boston, MA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
