Test Directory

Test Code
CYCIS
Test Name
Cyclospora and Isospora Examination
CPT Codes
87015, 87207
Included Tests
  • Cyclospora Examination
  • Isospora Examination
  • Concentration
Expected Turnaround Time
1 - 3 days
Clinical Utility

Cyclospora cayetanensis and Isospora belli are coccidian parasites which cause malaise, low grade fever, and diarrhea. Fatigue, anorexia, vomiting, myalgia and weight loss occur. The clinical presentation for those patients infected with either disease is similar.

Specimen and Container Info

Specimen Type: Preserved Stool

Collection Container: Pink Para- Pak with 10% formalin

Alternate Collection Container: Total Fix Transport Vial (Black Top)

Desired Specimen Volume: 10 g or 10 mL

Collection Instructions
  1. Collect random stool in a sterile container.
Processing and Submission Instructions
  1. Transfer stool within 30 minutes of collection into a suitable vial.
  2. Fill to the line on the transport vial.
  3. Label specimen with a room temperature sticker.
  4. Sample should not be shared with other testing to avoid improper specimen handling and prolonged TAT.
  5. This test is critical room temperature.
Patient Preparation

Stool must not contain residual barium from diagnostic tests.

Transport Instructions

Transport to the laboratory at room temperature.

Stability Requirements

Room Temperature

30 days

Causes for Rejection
  • Unpreserved stool
  • Stool specimens preserved in transport media not listed as acceptable
Methodology
Microscopic Exam of Modified Acid-Fast Stain
Reference Intervals

See patient report.

Limitations

Due to intermittent shedding, one negative sample does not necessarily rule out the presence of a parasitic infection.

Reference Lab
Quest Diagnostics Nichols Institute
Testing Schedule
Routine, daily