Test Code LAB1232047 Toxoplasma gondii, Molecular Detection, PCR, Varies
Performing Laboratory
Mayo Clinic Laboratories in Rochester
Reporting Name
Toxoplasma gondii PCRSpecimen Type
VariesNecessary Information
Specimen source is required.
Specimen Required
Submit only 1 of the following specimens:
Specimen Type: Amniotic fluid
Container/Tube: Sterile container
Specimen Volume: 0.5 mL
Collection Instructions: Do not centrifuge.
Specimen Type: Spinal fluid
Supplies: Sarstedt Aliquot Tube, 5 mL (T914)
Container/Tube:
Preferred: 12 x 75-mm screw cap vial
Acceptable: Sterile vial
Specimen Volume: 0.5 mL
Collection Instructions: Do not centrifuge.
Specimen Type: Fresh tissue
Supplies: M4-RT (T605)
Container/Tube:
Preferred: Multi-microbe medium (eg, M4-RT)
Acceptable: Sterile container with 1 to 2 mL of sterile saline
Specimen Volume: Entire collection
Collection Instructions: Submit only fresh tissue in a sterile container containing 1 mL to 2 mL of sterile saline or multi-microbe medium (M4-RT, M4, or M5)
Specimen Type: Ocular fluid
Supplies: Sarstedt Aliquot Tube 5 mL (T914)
Collection Container: 12 x 75-mm screw cap vial (swabs are NOT acceptable)
Specimen Volume: 0.3 mL
Collection Instructions:
1. Aliquot collected fluid into screw-cap vial. Do not submit ocular fluid in syringe.
2. Do not centrifuge or dilute the specimen.
Reject Due To
| Heat-inactivated specimen | Reject |
| Paraffin blocks | Reject |
| Swab received | Reject |
Specimen Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| Varies | Refrigerated (preferred) | 7 days |
| Frozen | 7 days |
Specimen Minimum Volume
Amniotic fluid, Ocular fluid, Spinal fluid: 0.3 mL; Tissue: 2 × 2 mm biopsy
Special Instructions
Day(s) Performed
Monday through Sunday
Specimen Retention Time
7 daysReport Available
1 to 4 daysReference Values
Negative
Useful For
Supporting the diagnosis of acute cerebral, ocular, disseminated, or congenital toxoplasmosis
This test should not be used to screen healthy patients.
Testing Algorithm
For information see Meningitis/Encephalitis Panel Algorithm.
CPT Code Information
87798
LOINC Code Information
| Test ID | Test Order Name | Order LOINC Value |
|---|---|---|
| PTOX | Toxoplasma gondii PCR | 29904-0 |
| Result ID | Test Result Name | Result LOINC Value |
|---|---|---|
| SRC74 | Specimen Source | 31208-2 |
| 81795 | Toxoplasma gondii PCR | 29904-0 |
Method Description
DNA from clinical specimens is extracted using the Roche MagNA Pure system. Toxoplasma gondii DNA is then detected by using real-time polymerase chain reaction (PCR) to amplify the target sequence. The LightCycler amplifies and monitors fluorescent development of target nucleic acid after each cycle. The continuous monitoring is derived from the fluorescence resonance energy transfer (FRET) principle: a hybridization probe with a donor fluorophore on the 3' end is excited by an external light source and emits light that is absorbed by a second hybridization probe with an acceptor fluorophore at the 5' end. The acceptor fluorophore emits light of a different wavelength that can be measured with a signal that is proportional to the amount of specific PCR product. Melting temperature analysis is used following amplification for sensitive and specific detection of amplified target DNA.(Cockerill FR, Uhl FR. Applications and challenges of real-time PCR for the clinical microbiology laboratory. In: Reischl U, Wittwer C, Cockerill F, eds. Rapid Cycle Real-Time PCR, 2002; Nolte FS. Target amplification techniques. In: Carroll KC, Pfaller MA, Landry ML, et al, eds. Manual of Clinical Microbiology. 12th ed. ASM Press; 2019)
Supportive Data
Analytical Sensitivity/Limit of Detection:
The limit of detection for this assay is less than 5000 copies/mL in spinal fluid, tissue, ocular fluid, and amniotic fluid.
Analytical Specificity:
No polymerase chain reaction signal was obtained from extracts of 20 bacterial, parasitic, and viral isolates from similar organisms and from organisms commonly found in the specimen types tested.
Precision:
Intra-assay precision and interassay precision are 100%.
Reference Range:
The reference range is "Negative" for this assay.
Reportable Range:
This is a qualitative assay and results are reported as "Negative" or "Positive."
Forms
If not ordering electronically, complete, print, and send a Microbiology Test Request (T244) with the specimen.