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HelpTest Code CYCLO Cyclospora Stain, Feces
Reporting Name
Cyclospora StainUseful For
Identifying Cyclospora cayetanensis as a cause of infectious gastroenteritis
Testing Algorithm
For other diagnostic tests that may be of value in evaluating patients with diarrhea; the following are available:
Performing Laboratory
Mayo Clinic Laboratories in Rochester
Specimen Type
FecalOrdering Guidance
Cryptosporidium oocysts do not reliably stain with the modified safranin stain. If Cryptosporidium is suspected, the specific enzyme-linked immunosorbent assay for this organism is recommended; order CRYPS / Cryptosporidium Antigen, Feces. To detect this organism as well as other common infectious causes of diarrhea, order GIP / Gastrointestinal Pathogen Panel, PCR, Feces.
Specimen Required
Patient Preparation: Patient should avoid use of antidiarrheal medication (eg, loperamide [Imodium-AD] or Pepto-Bismol).
The presence of barium will interfere with this test.
Submit only 1 of the following specimens:
Preferred:
Specimen Type: Preserved stool
Supplies:
-ECOFIX Stool Transport Vial (Kit) (T219)
-Formalin-Meridian 10% Buffered Neutral (T466)
Container/Tube:
Preferred: ECOFIX Stool Transport Vial (Kit)
Acceptable: 10% Buffered Formalin Stool Transport (Kit), Sodium Acetate Formalin (SAF)
Specimen Volume: 10 g
Specimen Stability Information: Ambient 21 days (preferred)/Refrigerated 21 days
Acceptable
Specimen Type: Unpreserved stool
Supplies: Stool container, Small (Random), 4 oz (T288)
Container/Tube: Stool container
Specimen Volume: 5 g
Specimen Stability Information: Refrigerated 3 days (preferred)
Specimen Minimum Volume
Preserved stool: 1 g
Unpreserved stool: 2 g
Specimen Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| Fecal | Varies | |
Special Instructions
Reference Values
Negative
If positive, reported as Cyclospora cayetanensis detected.
Day(s) Performed
Monday through Saturday
Test Classification
This test has been cleared, approved, or is exempt by the US Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.CPT Code Information
87015
87207
LOINC Code Information
| Test ID | Test Order Name | Order LOINC Value |
|---|---|---|
| CYCL | Cyclospora Stain | 50313-6 |
| Result ID | Test Result Name | Result LOINC Value |
|---|---|---|
| CYCL | Cyclospora Stain | 50313-6 |
Clinical Information
Cyclospora cayetanensis is an apicomplexan protozoan parasite that causes watery diarrhea, anorexia, malaise, and weight loss.(1) The extent of symptoms depends on the age and health of the host and the infectious dose of oocysts. The infection is usually self-limited, but symptoms can be severe and prolonged, particularly in immunocompromised patients. Cyclosporal diarrheal disease is endemic in many parts of the world, including parts of Asia, India, Southeast Asia, and Latin America. Although most cases of cyclosporiasis have been seen in travelers to developing countries, outbreaks in the United States are now seen each year associated with contaminated fruits and vegetables from Latin America. Transmission is via ingestion of fecally contaminated food or water. If untreated, symptoms may last for several weeks and may follow a relapsing course. The infection usually responds to treatment with a sulfamethoxazole-trimethoprim drug combination.
C cayetanensis oocysts are traditionally detected by modified acid-fast staining in which the oocysts stain bright pink red.(1,2) However, the modified safranin stain has been shown to provide increased sensitivity over the modified acid-fast method and produces a more rapid result. It is the method used in the Mayo Clinic Parasitology Laboratory to detect C cayetanensis oocysts in fecal sediment.
For more information about diagnostic tests that may be of value in evaluating patients with diarrhea see the following:
Interpretation
A report of "Cyclospora cayetanensis detected" indicates the presence of this parasite in the patient's feces.
Cautions
The full spectrum of disease and the extent of carriage without disease have not been determined. In addition, the exact sensitivity and specificity of the stain have also not been determined.
Cryptosporidium oocysts do not reliably stain with the modified safranin stain. If Cryptosporidium is suspected, the specific enzyme-linked immunosorbent assay (CRYPS / Cryptosporidium Antigen, Feces) for this organism is recommended. Alternatively, the GIP / Gastrointestinal Pathogen Panel, PCR, Feces may be performed to detect this organism as well as other common infectious causes of diarrhea.
Report Available
2 to 4 daysReject Due To
All specimens will be evaluated at Mayo Clinic Laboratories for test suitability.Method Name
Safranin Stain
Forms
If not ordering electronically, complete, print, and send 1 of the following forms with the specimen:
-Microbiology Test Request (T244)