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Test Code TXPM Toxoplasma gondii Antibody, IgM, Serum


Specimen Required


Supplies: Sarstedt Aliquot Tube, 5 mL (T914)

Collection Container/Tube:

Preferred: Serum gel

Acceptable: Red top

Submission Container/Tube: Plastic vial

Specimen Volume: 0.7 mL

Collection Instructions: Centrifuge and aliquot serum into a plastic vial.


Secondary ID

621837

Useful For

Qualitative detection of IgM antibodies to Toxoplasma gondii in serum

Method Name

Electrochemiluminescence Immunoassay (ECLIA)

Specimen Type

Serum

Specimen Minimum Volume

0.7 mL

Specimen Stability Information

Specimen Type Temperature Time
Serum Refrigerated (preferred) 21 days
  Frozen  90 days
  Ambient  72 hours

Reject Due To

Gross hemolysis Reject
Gross lipemia Reject
Gross icterus Reject
Additives (eg, biocides, antioxidants) Reject

Reference Values

Negative

Reference values apply to all ages.

Interpretation

Negative:

No IgM to Toxoplasma gondii detected. False-negative results may occur in immunocompromised patients or if testing was performed within 1 to 2 weeks of initial exposure and repeat testing may be helpful.

A single negative result should not be used to rule out toxoplasmosis, and repeat testing is recommended for patients at high risk for infection.

 

Borderline:

Repeat testing on a new sample collected in 2 to 3 weeks is recommended to assess for seroconversion. Further confirmatory testing may be necessary at a Toxoplasma reference laboratory in borderline results persist following repeat testing.

 

Positive:

Toxoplasma gondii IgM antibodies detected. Specimens with positive results should be confirmed by a laboratory with expertise in the diagnosis of toxoplasmosis.

For confirmation of toxoplasmosis, the US Food and Drug Administration issued a Public Health Advisory (07/25/1997) that recommends sera found to be positive for T gondii IgM antibodies should be sent to a Toxoplasma reference laboratory.

Method Description

The electrochemiluminescence immunoassay for the in vitro qualitative determination of IgM antibodies to Toxoplasma gondii in human serum is a micro-capture test principle. During the first incubation, 6 mcL of sample are automatically prediluted 1:20 with Diluent Universal. Toxoplasma gondii specific recombinant antigen labeled with a ruthenium complexa) is added. Anti-Toxo IgM antibodies present in the sample react with the ruthenium-labeled Toxoplasma gondii -specific recombinant antigen. In the second incubation, biotinylated monoclonal h-IgM-specific antibodies and streptavidin-coated microparticles are added. The complex becomes bound to the solid phase via interaction of biotin and streptavidin. The reaction mixture is aspirated into the measuring cell where the microparticles are magnetically captured onto the surface of the electrode. Unbound substances are then removed with ProCell II M. Application of a voltage to the electrode then induces chemiluminescent emission which is measured by a photomultiplier. Results are determined automatically by the software by comparing the electrochemiluminescence signal obtained from the reaction product of the sample with the signal of the cutoff value previously obtained by calibration.(Package insert: Elecsys Toxo IgM, Roche Diagnostics GmbH, 01/2024)

Day(s) Performed

Monday through Saturday

Report Available

Same day/1 to 3 days

Specimen Retention Time

14 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

CPT Code Information

86778

LOINC Code Information

Test ID Test Order Name Order LOINC Value
TXPM Toxoplasma Ab, IgM, S 40678-5

 

Result ID Test Result Name Result LOINC Value
MTXP Toxoplasma Ab, IgM, S 40678-5