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CID : 2207231090
Name : MRS.JOLLY RANI SAHA
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Age / Gender : 62 Years / Female Application To Scan the Code

Consulting Dr. :- Collected : 13-Mar-2022 / 08:51

Reg. Location : Kandivali East (Main Centre) Reported : 13-Mar-2022 / 13:54

KIDNEY FUNCTION TESTS

PARAMETER RESULTS BIOLOGICAL REF RANGE METHOD
BLOOD UREA, Serum 16.0 17.1-49.3 mg/dl Kinetic
BUN, Serum 7.5 8-23 mg/dl Calculated
CREATININE, Serum 0.65 0.51-0.95 mg/dl Enzymatic
eGFR, Serum 98 >60 ml/min/1.73sqm Calculated
TOTAL PROTEINS, Serum 6.9 6.4-8.3 g/dL Biuret
ALBUMIN, Serum 3.8 3.5-5.2 g/dL BCG
GLOBULIN, Serum 3.1 2.3-3.5 g/dL Calculated
A/G RATIO, Serum 1.2 1-2 Calculated
URIC ACID, Serum 5.2 2.4-5.7 mg/dl Enzymatic
PHOSPHORUS, Serum 4.6 2.7-4.5 mg/dl Molybdate UV
CALCIUM, Serum 9.5 8.8-10.2 mg/dl N-BAPTA
SODIUM, Serum 130 135-148 mmol/l ISE
POTASSIUM, Serum 4.4 3.5-5.3 mmol/l ISE
CHLORIDE, Serum 97 98-107 mmol/l ISE

*Sample processed at SUBURBAN DIAGNOSTICS (INDIA) PVT. LTD Borivali Lab, Borivali West
*** End Of Report ***

Dr.KETAKI MHASKAR
M.D. (PATH)
Pathologist

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 Authenticity Check

CID : 2207231090
Name : MRS.JOLLY RANI SAHA
Use a QR Code Scanner
Age / Gender : 62 Years / Female Application To Scan the Code

Consulting Dr. :- Collected : 13-Mar-2022 / 08:51

Reg. Location : Kandivali East (Main Centre) Reported : 15-Mar-2022 / 14:20

TB Gold (IGRA) Quantiferon

PARAMETER RESULTS BIOLOGICAL REF RANGE METHOD
Tb Gold, Blood, LH Plasma Negative (0.00) Negative: < 0.35 IU/ml
Positive: >/= 0.35 IU/ml
Method: Elisa (IGRA)
TEST DESCRIPTION: Quantiferon Tb Gold (QFT) is an in vitro diagnostic test using a peptide cocktail simulating ESAT-6, CFP-10 & TB7.7 (p4)
proteins to stimulate cells in heparinized whole blood. Detection of interferon-gamma (IFN-gamma) by ELISA is used to identify in vitro
responses to these peptide antigens that are associated with Mycobacterium tuberculosis infection.The sensitivity & specificity of the test is 83
to 93 % and 98 to 100 % respectively.

INTERPRETATION:
1) QFT is a test for Cell Mediated Immune (CMI) response to peptide antigens that stimulate mycobacterial proteins.
2) A positive result supports the diagnosis of tuberculosis disease; however infection by other mycobacteria (eg. M.kansaii, M.szulgai and
M.marinum) could also lead to positive results. Other medical and diagnostic evaluations are necessary to confirm or exclude tuberculosis
disease.
3) IGRA (Interferon-gamma release assays) cannot distinguish between latent tuberculosis infection (LTBI) & tuberculosis disease. Latent
tuberculosis infecion is a non-communicable asymptomatic condition, persists in some, who might develop tuberculosis disease months or years
later. The magnitude of the measured IFN-gamma level cannot be correlated to stage or degree of infection, level of immune responsiveness, or
likelihood for progression to active disease.
4) QFT test is unaffected by prior BCG vaccination and is hence superior to tuberculin skin test as it does not give false positive results in BCG
vaccinated patients.
5) A negative QFT result does not preclude the possibility of M. tuberculosis infection or tuberculosis disease; false negative results can be due
to stage of infection (eg. sample obtained prior to the development of cellular immune response), co-morbid conditions which affect immune
functions such as HIV infection, immunosuppressive drugs, malignancies etc.
6) Unreliable or indeterminate results may occur due to excessive levels of circulating IFN-gamma or presence of heterophile antibodies.

RECOMMENDED TESTS FOR DIAGNOSIS OF TUBERCULOSIS:

1) Genexpert TB Test (WHO expert group recommendations)
a) Genexpert TB test should be used as the initial diagnostic test in individuals suspected of having MDR-TB or HIV associated TB (strong
recommendation).
b) Genexpert TB test may be used as a follow-on test to microscopy especially in smear negative specimens (conditional recommendation).
Ref: http://who.int/tb/laboratory/mtbrifrollout/en/
2) BACTEC MGIT TB Cuture System:has revolutionized laboratory testing for mycobacteria and has established itself as the gold standard for TB
culture and susceptibility testing.
The BACTEC MGIT TB System has been reported to yield 15-20% increased culture positivity of clinical specimens as compared to conventional
solid media such as LJ medium, with an average time-to-detection of positive growth from 8 to 14 days as compared to 3 to 5 weeks on solid
media.
Ref:http://www.finddiagnostics.org/export/sites/default/resource-centre/find_documentation/pdfs/mgit_manual_nov_2007.pdf
*Sample processed at SUBURBAN DIAGNOSTICS (INDIA) PVT. LTD CPL, Andheri West
*** End Of Report ***

Dr.ANUSHREE GAIGAWALE
M.D. (MICRO); DNB
Microbiologist

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