Stadium Road, P.O.

Box 3500 ,
Karachi - 74800, Pakistan
Isphani Collection Unit Tel: 34657344/34657355

1
Medical Record # : L24049200 (AI578156)
Patient Name : MUHAMMAD,TARIQ KHAN Age / Gender : 64Y / Male
Specimen ID : 11022021:MS0170R Location : ISPHANI
Clinical Information / Comments: Requesting Physician : DR. SABA
01 plain tube received from outside Account # : C32827338 - OSR
Disclaimer: “specimen brought from outside. Patient ID was not Requested on : 11/02/2021 - 14:53
verified as the specimen was not collected by AKUH staff”. Collected on : 11/02/2021 - 14:53
Reported on : 12/02/2021 - 16:40

Test Result Normal Ranges

GALACTOMANNAN .............. 0.126

Serum:

DIAGNOSTIC:

Positive: A single positive index of >0.7 or

two consecutive samples of >0.5
Negative: <0.5

This is an electronic report & not

PROGNOSTIC:
Serum value of >1.0 is considered a sign of therapeutic failure

to be used for any legal purposes

Bronchoalveolar lavage:
Positive: >1.0
CSF:
Positive: >0.5

Positive results:
Positive results must be evaluated in combination with fungal culture,
histopathology, radiological evidence and clinical findings.
Falsely raised galactomannan index (GMI) can be seen with amoxicillin,
amoxicillin-clavulanate, piperacillin-tazobactam, and sodium gluconate (plasmalyte
solution) therapy, as well as prolonged intake of foods with high concentration of
galactomannan such as pasta, rice, peas, carrots, mushroom and spinach. Damage to
gastrointestinal mucosa after chemotherapy and irradiation can also cause false
positive results.
Serum galactomannan is specific for Aspergillus species however infection with
Penicillium species, Geotrichum capitatum, Paecilomyces variotii, and Alternaria
species may also give rise to false positive results.
Negative results:
A negative result does not rule out invasive aspergillosis (IA) in a high risk
patient. Repeat testing is recommended in such cases.
Use of mold active agents e.g. itraconazole, voriconazole or posaconazole, can
result in falsely low serum galactomannan index.
BETA D GLUCAN .............. 16.335 pg/mL

Page 1 (Contd. on Page 2)

Dr. Afia Zafar Dr. Erum Khan Dr. Rumina Hasan Dr. Seema Irfan Dr. M. Asim Beg
MBBS, FRC (Pathology) MBBS, FCPS (Microbiology) MBBS, FRC(Path) PhD (University of MBBS, FCPS (Microbiology) MBBS, PhD, FRCP (Edin)
Professor & Chair Associate Professor London) Associate Professor Professor & Consultant parasitologist
Professor
Dr. Kausar Jabeen
MBBS, FCPS(Microbiology)
Associate Professor
 Stadium Road, P.O. Box 3500 ,
Karachi - 74800, Pakistan
Isphani Collection Unit Tel: 34657344/34657355

1
Medical Record # : L24049200 (AI578156)
Patient Name : MUHAMMAD,TARIQ KHAN Age / Gender : 64Y / Male
Specimen ID : 11022021:MS0170R Location : ISPHANI
Clinical Information / Comments: Requesting Physician : DR. SABA
01 plain tube received from outside Account # : C32827338 - OSR
Disclaimer: “specimen brought from outside. Patient ID was not Requested on : 11/02/2021 - 14:53
verified as the specimen was not collected by AKUH staff”. Collected on : 11/02/2021 - 14:53
Reported on : 12/02/2021 - 16:40

Test Result Normal Ranges

Data for neonates, and infants less than six months, are lacking.

Negative: <60 pg/ml

Indeterminate: 60-80 pg/ml (repeat test recommended)

Positive: >80 pg/ml

Beta-D-Glucan is a panfungal marker; however its levels do not rise in

Cryptococcal, Blastomyces and mucoraceous infections.
False positive results may be seen in patients on hemodialysis therapy, treatment
This is an electronic report & not
with serum albumin and immunoglobulins, beta-lactam antibiotics or colistin,
bacteremia with various organisms, and exposure to glucan-containing gauze or latex
gloves.
to be used for any legal purposes

Page 2
This is a computer generated report therefore does not require any signature.
Dr. Afia Zafar Dr. Erum Khan Dr. Rumina Hasan Dr. Seema Irfan Dr. M. Asim Beg
MBBS, FRC (Pathology) MBBS, FCPS (Microbiology) MBBS, FRC(Path) PhD (University of MBBS, FCPS (Microbiology) MBBS, PhD, FRCP (Edin)
Professor & Chair Associate Professor London) Associate Professor Professor & Consultant parasitologist
Professor
Dr. Kausar Jabeen
MBBS, FCPS(Microbiology)
Associate Professor