CLINICAL MICROBIOLOGY
ISOLATION OF MICROORGANISMS FROM SPECIMENS: FUNGI: Fungal infections (i.e., mold and yeast infections) often are diagnosed by direct microscopic (fluorescence) examination of specimens. For example, the identification of molds often can be made if a portion of the specimen is mixed with a drop of 10% Calcofluor White stain on a glass slide. Fungal cultures remain as the standard for the recovery of fungi from patient specimens; however, the time needed to culture fungi varies anywhere from a few days to several weeks depending on the organism. Fungal serology (e.g., complement fixation and immunodiffusion) is designed to detect serum antibody but is limited to a few fungi (Blastomyces dermatitidis, Coccidioides immitis, Histoplasma capsulatum). The cryptococcal latex antigen test is routinely used for the direct detection of Cryptococcus neoformans in serum and cerebrospinal fluid. In the clinical laboratory, nonautomated (conventional kits) and aut...