Pleural fluid Gram stain

Alternative Names: Gram stain of pleural fluid

The pleural fluid Gram stain is a test to diagnose bacterial infections in the lungs.

Why is the Test Performed?

The test is performed when the health care provider suspects an infection of the pleural space, or when a chest x-ray reveals an abnormal collection of pleural fluid.

How is the Test Performed?

Pleural fluid is found in the space around the lungs. In a variety of diseases, an abnormal amount of pleural fluid builds up in the lungs.

A sample of the pleural fluid is needed for this test. For information on how the sample is obtained, see: Thoracentesis

The fluid sample is placed onto a microscope slide and mixed with a violet stain (called a Gram stain). A laboratory specialist uses a microscope to look for bacteria on the slide. If bacteria are present, the color, number, and structure of the cells are used to identify the specific organism.

Preparation for the Test

See:Thoracentesis

How will the Test Feel?

See: Thoracentesis

Pleural fluid Gram stain Risks

See:Thoracentesis

Normal Results for Pleural fluid Gram stain

Normally, no bacteria is seen in the pleural fluid.

The examples above are common measurements for results of these tests. Normal value ranges may vary slightly among different laboratories. Some labs use different measurements or test different samples. Talk to your doctor about the meaning of your specific test results.

What Abnormal Results Mean

You may have a bacterial infection of the lining of the lungs (pleura).

Related Images

Learn more about Pleural fluid Gram stain

Review Date: 11/13/2011
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
Do not use this information for medical emergencies - Call 911. This information should not be used for the diagnosis or treatment of any medical condition. A licensed medical practitioner should always be consulted for diagnosis and treatment of any and all medical conditions. Links to other websites do not constitute endorsements and are provided for information only. Any duplication or distribution of this information is strictly prohibited.
Copyright 2012 A.D.A.M., Inc.
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