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Cerebrospinal Fluid (CSF) Cryptococcal Antigen Measurement

Published: August 9, 2026Updated: August 16, 2026

This test checks for the presence of cryptococcal antigen, a fungal marker, in your cerebrospinal fluid (CSF). It helps diagnose cryptococcal meningitis, a serious infection caused by the fungus *Cryptococcus neoformans*.

Quick summary

["This test can help identify fungal infections in the brain and spinal cord."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
22173-9
Short code
C pneum IgM Titr CSF
Synonyms
C pneum IgM Titr CSF
Category
chemistry
Sample
csf
Container
Sterile tube
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
82784
Specimen volume
1-2 mL
Stability
Immediate analysis required, Refrigerated: 1h
Hemolysis max
200
TAT
4–24 hours
Order
routine

Why Is This Test Done?

Your doctor may order this test if you have symptoms like severe headaches, neck stiffness, confusion, or fever, especially if you have a weakened immune system or have been exposed to the fungus. It’s also used in monitoring people with HIV/AIDS or other conditions where cryptococcal meningitis is a risk.

What Does the Test Involve?

A small amount of your CSF is collected through a procedure called a lumbar puncture (spinal tap). The sample is then tested for cryptococcal antigen using a sensitive immunoassay method. Results are qualitative (positive or negative) rather than quantitative.

What Are Possible Results?

A positive result means the presence of cryptococcal antigen, which strongly suggests cryptococcal meningitis. A negative result means no detectable antigen, but it doesn’t rule out infection in all cases. Follow-up testing or additional evaluation may be needed.

What Does This Test Tell You About My Health?

A positive result is critical for diagnosing cryptococcal meningitis, guiding treatment decisions, and monitoring response to antifungal medications. It helps doctors determine if you need immediate medical intervention or ongoing care.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Cryptococcal antigen in CSF is a key diagnostic marker for cryptococcal meningitis, particularly in immunocompromised individuals. Early detection improves treatment outcomes and reduces complications. While negative results may initially suggest absence of infection, further evaluation is often required to confirm or rule out other causes of symptoms.

Short name

Cryptococcal Antigen (CSF)

Frequently asked questions

What does a positive result mean for my health?
A positive result strongly indicates cryptococcal meningitis, a fungal infection of the brain and spinal cord. This requires immediate medical attention, often involving antifungal medications. Your doctor will work with you to develop a treatment plan tailored to your needs.
How often will I need this test if I have a positive result?
If you test positive, your doctor may schedule follow-up tests to monitor your response to treatment. The frequency depends on your condition, but it could range from weekly to monthly checks until you’re fully treated and symptoms resolve.
Can I take anything to prepare for this test?
No special preparation is needed for this test. However, inform your doctor about any medications you’re taking, especially those that affect your immune system or blood clotting, as they may influence the procedure or results.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy