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Test Code lab1231754 Tropheryma whipplei, Molecular Detection, PCR, Blood

Important Note

Mayo code is WHIPB

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Reporting Name

Tropheryma whipplei PCR, B

Specimen Type

Whole Blood EDTA


Specimen Required


The high sensitivity of amplification by polymerase chain reaction requires the specimen to be processed in an environment in which contamination of the specimen by Tropheryma whipplei DNA is unlikely.

 

Container/Tube:

Preferred: Lavender top (EDTA)

Acceptable: Royal blue top (EDTA), pink top (EDTA), or sterile vial containing EDTA-derived aliquot

Specimen Volume: 1 mL

Collection Instructions: Send whole blood specimen in original tube (preferred)


Reject Due To

All specimens will be evaluated at Mayo Clinic Laboratories for test suitability.

Specimen Stability Information

Specimen Type Temperature Time Special Container
Whole Blood EDTA Refrigerated (preferred) 7 days
  Ambient  7 days
  Frozen  7 days

Specimen Minimum Volume

0.5 mL

Day(s) Performed

Monday through Friday

Specimen Retention Time

7 days

Report Available

2 to 7 days

Reference Values

Not applicable

Useful For

Aiding in the diagnosis of Whipple disease, especially for identifying inconclusive or suspicious cases, using whole blood specimens

CPT Code Information

87798

LOINC Code Information

Test ID Test Order Name Order LOINC Value
WHIPB Tropheryma whipplei PCR, B 97205-9

 

Result ID Test Result Name Result LOINC Value
SRC89 Specimen Source 31208-2
56064 Tropheryma whipplei PCR, B, Result 97205-9

Supportive Data

A total of 321 clinical specimens (including blood, tissue, cerebrospinal fluid, and synovial fluid) were evaluated for the presence of Tropheryma whipplei DNA by targeting the heat shock protein 65 gene using the LightCycler Whip assay and results were compared to those of a conventional polymerase chain reaction (PCR) assay. The sensitivity and specificity of the LightCycler Whip assay compared to conventional PCR were 98% and 99%, respectively. The analytical sensitivity was less than 50 targets per reaction. The LightCycler Whip showed no cross reaction when tested on a panel of 28 organism genotypically closely related to T whipplei by BLAST analysis.

Forms

If not ordering electronically, complete, print, and send 1 of the following forms with the specimen:

-Microbiology Test Request (T244)

-Gastroenterology and Hepatology Test Request (T728)