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Sputum smear (KOH test) How the Test is Performed: Obtain a sputum sample by coughing deeply and expelling the material that comes from the lungs (sputum) into a specimen container. A smear of sputum is prepared with a potassium hydroxide (KOH) and examined under the microscope. If it is positive, fungal cells can be observed. How to Prepare: There is no special preparation. How it Feels: There is no discomfort. Risks: There are no risks. Why this Test is Performed: The test may be performed when there is abnormal sputum production or when an infection of the lungs is suspected. Normal Values: No presence of organisms is normal. Abnormal Results: Abnormal results indicate the presence of fungus such as coccidioidomycosis or blastomycoses. White blood cells called eosinophils may also be present. Additional conditions under which the test may be performed: Cost: The estimated cost is $15. Special Considerations: Not applicable.
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