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Fungal Smear Test

Fungal Smear Test

Fungal smear test is clinically known as KOH test. The test is a fungal culture to detect and treat the fungal infection of the lungs and the immunosuppressive condition. Fungal infection of the lung is caused by fungi or microorganisms like yeast or mold. If the fungal infection is superficial, then a simple clinical/microscopic examination is enough to identify the infection. In order to identify the infection causing organism, and to dig deeper into the root cause of the fungal infection, the KOH test is ordered. The test reveals the presence of any fungal antigens and antibodies. The test may vary depending on whether the infection is superficial or systemic.

The KOH test of the sputum is performed on a sample of sputum which is a mixture of saliva and mucus. Sputum is what we cough up from the respiratory tract when having an infection or other disease.

Usually, the doctor advises the patient to drink plenty of water or fluids the night before the KOH test. This produces more sputum which is collected in the morning and it usually has more bacteria. This enables better testing. The KOH test is advised by the doctor and it’s recommended that you disclose any on-going medication or allergies to the doctor if any. The doctor’s advice and instructions need to be followed sincerely.

If the test result is normal, then it means there is no fungal lung infection.

If the test result is positive, then it means there is fungal lung infection. The presence of fungi is established and further fungal culture may be recommended. If the immune system is healthy, then a month long medication cures the symptoms. Otherwise, prolonged antifungal medication is prescribed.

The sample sputum needs to be collected and sent to the laboratory for examination. It’s ideal that the sample sputum is collected in the morning as you wake up. Remember not to eat or drink anything before the collection of the sputum. The sputum is collected in a sterile sample cup which is provided by the doctor or the pathologist. The cup should be properly labelled and sealed before sending to the laboratory.

After brushing and rinsing your mouth in the morning, cough hard to spit sputum into the sterile sample cup. The sputum must come from deep inside the lungs. Remember to fill the cup up to the marker with the sample sputum.

Type Gender Age-Group Value
Fungal Smear
All age groups
A normal KOH test result shows no Fungi. A stained slide fluoresce is observed if positive for fungus. A positive test indicates Fungal infection but it cannot identify the organism. If KOH test is positive then, specimen is inoculated into culture media.
Average price range of the test is between Rs.150 to Rs.600 depending on the factors of city, quality and availablity.

Table of Content

What is Fungal Smear Test?
Preparation for Fungal Smear Test
Uses of Fungal Smear Test
Procedure for Fungal Smear Test
Normal values for Fungal Smear Test
Price for Fungal Smear Test
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Popular Questions & Answers

Hi I am having diabetes since 2010 whenever I check my Sugar at home it is around 180 but when get it checked from lab it was about 289 and even I am loosing my weight.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Hi I am having diabetes since 2010 whenever I check my Sugar at home it is around 180 but when get it checked from la...
Mr. lybrate-user, Thanks for the query. Blood glucose checked with gluco meter or with venous blood at labs, can be having such a huge difference. You have not mentioned whether it is fasting, after food or random. If you are loosing weight means blood glucose is not well controlled. Hence my suggestion is please come back with following details: FBG, PPBG & HbA1c%, drugs being taken with dosage, dietary pattern and extent of exercise being done daily. Based on those details I will be able to guide specifically. Once if the blood glucose is well controlled then weight loss is stopped and one can even regain the same. Thanks.
2 people found this helpful

My mother has recently started facing a chest pain which stretches from her chest till elbow of her left hand. Plus her sugar level was recently jumped to 500 day before yesterday. Later on the same day, it came down to 440 on taking a medicine which is jalra M 50/500 mg. Yesterday, I took her to a heart hospital which is located nearby, in emergency. The cardiologist which was on duty suggested to admit her. As her blood sugar level was 312. There was a change on ECG which was taken at that moment. I am attaching the ECG report for your reference. Please suggest what measures to be taken for my mother. I would be realy thankful for all your tips and please suggest what action to be taken?

MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
My mother has recently started facing a chest pain which stretches from her chest till elbow of her left hand. Plus h...
Hi I am not able to read your ECG here but if the on duty cardiologist has advised admission then I am a assuming that ECG would be having some changes also your mother's blood sugar levels are quite high and having diabetes along with chest discomfort puts you with a very high risk of heart problems so I will advise you to get her evaluated thoroughly for cardiac issues. She would need the following tests 2d echocardiography Cardiac enzymes (trop I and CPKMB) And repeat ECG if there are any changes in the ECG or these other test then she will need angiography and you should get her admitted under a cardiologist near by as soon as possible.
3 people found this helpful

Hi Doctor, I had fasting blood glucose of 140 on 21st July 2017 for which I was advised to skip rice & non vegetarian at dinner for 10 days. Again I checked on 1st Aug which read as 113, along with 2 hrs post prandial at 134 & HBA1C 5.8%. Please advise if I am diabetic or not? Any actions to be taken. My doctor has advised to exercise along with diet.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Hi Doctor, I had fasting blood glucose of 140 on 21st July 2017 for which I was advised to skip rice & non vegetarian...
Mr. lybrate-user, Thanks for the query. The blood glucose levels mentioned suggest you have a pre-diabetic state. Diabetes is diagnosed if FBG is equal to or more than 126 mg & PP 200 mg and above & HbA1c% 6.5% and above. So your present situation is pre-diabetic state. At this stage, if one follows a modified lifestyle, then diabetes can be prevented. For that you need to maintain near normal weight (65 kgs), exercise regularly for over 1 hour and take a proper balanced diet and avoid sweets, deep fried foods, junk foods, pastries, bakery items and foods made out of maida. Also avoid sweetened aerated drinks (colas), alcohol and smoking. Red meat also is not good. Thanks.
3 people found this helpful

Popular Health Tips

Low Blood Pressure!

MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
Low Blood Pressure!

You've probably heard that high blood pressure is a problem. Sometimes blood pressure that is too low can also cause problems.

Blood pressure is the force of your blood pushing against the walls of your arteries. Each time your heart beats, it pumps out blood into the arteries. Your blood pressure is highest when your heart beats, pumping the blood. This is called systolic pressure. When your heart is at rest, between beats, your blood pressure falls. This is the diastolic pressure. Your blood pressure reading uses these two numbers. Usually they're written one above or before the other, such as 120/80. If your blood pressure reading is 90/60 or lower, you have low blood pressure.

Some people have low blood pressure all the time. They have no symptoms and their low readings are normal for them. In other people, blood pressure drops below normal because of a medical condition or certain medicines. Some people may have symptoms of low blood pressure when standing up too quickly. Low blood pressure is a problem only if it causes dizziness, fainting or in extreme cases, shock.

8 people found this helpful

How Is Thyme Beneficial For You?

MD-Ayurveda,Kayachikitsa(Ayurvedic physician), BAMS, MD
Ayurvedic Doctor, Jammu
How Is Thyme Beneficial For You?

Thyme herb belongs to the mint family. Apart from being a staple culinary ingredient, it is getting fast recognition for its medicinal benefits. Here are 13 topmost benefits of thyme -

1. Fights acne: When thyme is soaked in alcohol for several days, it turns tincture and attains antibacterial properties for fighting acne.

2. Lowers blood pressure: If thyme can be replaced with salt in foods, it will work effectively in lowering the heart rate.

3. Controls cough: Thyme oil mixed with ivy leaves is a wonderful natural remedy for cough, cold and even acute bronchitis.

4. Boosts immunity: Thyme comes loaded with nutrients like vitamin A, C, Manganese, Copper, Iron and fiber to help build body's immunity.

5. Helps in controlling pests: Thyme is added as a primary ingredient in many pesticides for controlling pests, virus and bacteria. Rub thyme leaves on your arms and legs and you will be safe from mosquito bites.

6. Improves mood: Thyme essential oil contains a substance called 'carvacrol'. This substance helps thyme in being used as an aromatic agent that renders many therapeutic uses.

7. Protects from cancer: Thyme extracts render protective effect on organs like colon and breast from cancer.

8. Treats yeast infection: Thyme essential oil can be applied over yeast infected areas (vagina and mouth) for quick relief.

9. Cures rheumatism: The diuretic properties of thyme oil can help in removal of toxins, which consequently improves the circulation and can cure rheumatism.

10. Strengthens cardiac muscles: Thyme has anti-spasmodic properties that make it eligible to be used for regulating the functioning of heart valves. It relieves heart from stress by smoothening veins and arteries.

11. Can help treat gas: Thyme is an effective carminative agent and can easily push gas downward for removal.

12. Uplifts low blood pressure: Thyme is a boon for those who often have plummeting blood pressure to save them from the sluggish lifestyle.

13. Kills virus: Thyme, in its various forms, holds immense antiviral potential and prevents the entry of the virus into the cell.

3293 people found this helpful

Healthiest Butter Substitute Options!

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Healthiest Butter Substitute Options!

Healthiest butter substitute options

1. Coconut oil and coconut butter

Coconut oil may be getting a bit of a bad rap lately with new studies that have been published by the american heart association claiming it’s unhealthy to eat. In moderation, though, coconut oil is a healthy choice — perhaps the problem is people are overdoing it. 

However, it’s delicious to cook with and makes a great spread on muffins or toast. Equally, it’s great in homemade recipes, such as my energy balls. Like coconut oil, coconut butter is delicious and can add just the right sweetness and toasty coconut flavor to most any dish.

2. Shea butter

Yes, you read that right. Shea butter does more than help promote healthy skin. It’s an alternative to butter and often used instead of cocoa butter. It’s edible and filled with antioxidants, essential fatty acids and vitamin e.

If you’re a label-reader, you’ve probably noticed it in the ingredients list of some dark chocolate treats. You can simply use a small amount of shea butter in place of regular butter in just about anything. Make sure to purchase pure, unrefined versions, and I suggest purchasing small amounts as it tend to go rancid quickly.

3. Cocoa butter

Cocoa butter is another alternative to butter and is considered a healthy fat. It’s used to make chocolate and is high in antioxidants, providing amazing polyphenols. According to one study, the polyphenols are so great that it may actually help lower the risk of cardiovascular disease

Some of the other benefits are improved immunity and lowering inflammation within the body. Like shea butter, make sure to get 100 percent pure versions with no additives. Try using it in baking instead of regular butter.

4. Mashed avocado

Mashed avocado is one of my favorite healthy fats, and with the recent popularity of avocado toast, i’m not the only one who loves it. Avocado makes a nice spread when mashed, is delicious on eggs and adds an amazing creaminess to your smoothie, all while offering the nutritional benefits of fiber and loads of phytonutrients. Additionally, research has shown it may help reduce the growth of cancer cells and inflammation. 

5. Hummus

Hummus is one of my favorite ways to flavor just about anything and is part of a healthy mediterranean diet. It’s typically made from chickpeas, lemon juice, garlic and tahini as the main ingredients, offering tons of fiber, protein, vitamin b6 and other nutritional benefits, but it can be made from black beans, lentils and even vegetables. It’s a great topping on sauteed vegetables, eggs, mixed greens or as a snack with raw vegetables. Hummus is commonly eaten with pita triangles, but you can skip the bread and opt for celery if you’re watching your wheat and gluten intake.

6. Extra virgin olive oil

Extra virgin olive oil is a great way to add a little flavor to sourdough bread, toast or grilled meat, to name a few. While you don’t need much, it’s a great way to gain some added benefits, such as lowering inflammation, the risk of heart disease, depression and dementia.

With all of that in mind, unfortunately, not all olive oil is created equally. Just make sure you get the real thing; there is a lot of fake olive oil out there. Watch out for virgin olive oil that costs less than $10 a liter, look for a seal from the international olive oil council and check for a harvesting date on the label. Additionally, if it’s labeled light, pure or a blend, it isn’t real, pure virgin olive oil. 

7. Applesauce

Applesauce is great for baking or to add a little flavor to your oatmeal or chia pudding. You get fiber, vitamin c and that perfect touch of sweetness without a lot of calories. There’s some sugar to think about, however. Read the label and be conscious of how much you use. Try spreading thinly or mix it with a little nut butter for a delicious, healthy blend. 

8. Dairy-free yogurt

Dairy-free yogurt, such as coconut yogurt or almond yogurt, blended with a little cinnamon can be delicious on toast. There are many of options out there for anyone who really needs to watch dairy consumption. Dairy-free yogurt can be a great alternative and helps strengthen bones.

Regardless, watch the label. I cannot stress this enough, especially with new foods popping up everywhere trying to cash in on a trend, such as no dairy. Most of the dairy-free options still have added sugar and more. You can easily find the plain, no-sugar versions if you look for them, however. Go for those and you can create an amazingly, healthy, dairy-free chia pudding, use it on your favorite mexican dish like sour cream and more. Also, many have the probiotics that can help treat leaky gut.

9. Chicken stock, vegetable stock and bone broth

Chicken stock, vegetable stock and bone broth are great for sautéing. You won’t even miss the butter! the stock or broth can help keep foods juicy and tender while adding delicious flavor and nutrients, even helping with digestion, arthritis and cellulite while boosting the immune system.

10. Nut butters

Nut butters, such as almond butter, cashew butter and peanut butter, are great on celery sticks, bananas, toast or even a vegetable sauté for a quick and easy thai dish. Almond butter, for example, contains vitamin e, iron and magnesium.

The key here is to be conscious of just how much. Two tablespoons is a serving, which comes in at about 180 calories. Also, you need to read labels since most add tons of sugar and oils. Either grind your own or purchase those that contain nuts only. Sea salt is fine, but avoid added oils and sugars.

11. Pumpkin puree

Pumpkin puree is a great option to add to plain yogurt, breads, coffee cakes and muffins. You gain nutrients like vitamin k, potassium and fiber with just a few extra calories. Use ¾ cup of pumpkin puree for every cup of butter called for in a recipe.

12. Nutritional yeast

Nutritional yeast is often forgotten but is great for seasoning most anything if you want a cheesy flavor. It also contains nutritional benefits, such as being an immune booster and contains protein, b6 and b12, making it a vegan must-have. It’s quite the superfood, but what is nutritional yeast? it’s an inactive yeast made from sugarcane and beet molasses. It’s found in most health food stores on the shelf or in the bulk section, typically as a powder of flakes.

1 person found this helpful

Say Bye To Fungal Infections With Homeopathy!

Homeopathy Doctor, Chennai
Say Bye To Fungal Infections With Homeopathy!
  • Ringworm or tinea infections, are a fungal skin disease. A family of fungi called dermatophytes causes these infections which might occur anywhere on the body, typically the arms, legs, neck, groin, scalp, hair, nails or beard. The fungi survive on the dead skin cells or keratin and rarely invade the deeper membranes and tissues.
  • However, many ringworm (or tinea) infections often recur and the usual medicines simply do not help the patient. 
  • Homoeopathic constitutional treatment will give you a permanent cure.
  • You can easily take an online consultation for further treatment guidance and permanent cure without any side effects.
14 people found this helpful