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: Galactomannan Antigen, Serum or Plasma

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

: This test detects galactomannan, a carbohydrate component of certain mold cell walls, in a sample of serum or plasma. It is used to help identify invasive Aspergillus infection, especially in people with weakened immune systems.

Quick summary

[": A galactomannan antigen test looks for evidence of Aspergillus mold in the blood and is often used alongside imaging, cultures, and clinical findings."]

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

Key facts at a glance

LOINC
108700-6
Short code
Galactomannan Ag Msmt SerPl
Synonyms
Galactomannan Ag Msmt SerPl
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
86038
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

: What This Test Measures

: Galactomannan is a polysaccharide released from the cell walls of Aspergillus species and some related molds as they grow. Detecting it in blood can provide a clue that such a mold is present in the body, even when cultures do not grow the organism.

: Why Your Clinician May Order It

: The test is most often ordered for people at high risk of invasive aspergillosis, such as those receiving chemotherapy, transplant recipients, or others with prolonged low white blood cell counts. It may also be used to monitor response during treatment for a known Aspergillus infection.

: How the Sample Is Collected

: A blood sample is drawn from a vein, usually in the arm, and the serum or plasma is separated for testing. No special preparation is typically required, though your care team will give any specific instructions.

: What Results Can Mean

: A positive or elevated result suggests that galactomannan from Aspergillus or a related mold may be present and is usually interpreted together with symptoms, imaging, cultures, and other tests. A negative result makes invasive Aspergillus infection less likely but does not rule it out, and results can be affected by certain antibiotics, antifungals, and other factors. Your clinician will interpret the result in the context of your overall health.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

: Galactomannan antigen testing is a supportive tool for detecting invasive aspergillosis and is not a stand-alone diagnosis. Its performance depends on the patient population, specimen type, timing of collection, prior antifungal therapy, and possible cross-reactions. Results should always be integrated with clinical evaluation, imaging, culture, and, when appropriate, repeat testing.

Short name

: Galactomannan Ag

Frequently asked questions

: Does a positive galactomannan result always mean I have an Aspergillus infection?
: No. A positive result raises concern for Aspergillus or a related mold, but it is not proof of infection on its own. Some medications, other molds, and certain clinical conditions can cause false positives, so your clinician will confirm the meaning using additional tests and your overall picture.
: Can this test be negative even if an infection is present?
: Yes. Galactomannan may not be detectable early in infection, may be cleared by antifungal treatment, or may be present at levels below detection. A negative result lowers suspicion but does not completely exclude invasive aspergillosis.
: Do I need to fast or prepare for this blood test?
: Fasting is generally not required for galactomannan testing, but follow any specific instructions from your care team. Tell your clinician about all medications you take, including antibiotics and antifungals, because they can influence the result.
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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