Hi Teresa,
Very interesting.

Do you have any references on mature and immature fungal cell walls and how 
they react histochemically?

Regards
Tony Henwood MSc, BAppSc, GradDipSysAnalys, CT(ASC), FFSc(RCPA)
Laboratory Manager & Senior Scientist, the Children’s Hospital at Westmead
Adjunct Fellow, School of Medicine, University of Western Sydney
Tel: 612 9845 3306
Fax: 612 9845 3318
Pathology Department
the children's hospital at westmead
Cnr Hawkesbury Road and Hainsworth Street, Westmead
Locked Bag 4001, Westmead NSW 2145, AUSTRALIA 

________________________________________
From: Goins, Tresa [[email protected]]
Sent: Saturday, 2 May 2015 3:28 AM
To: Paula Lucas; [email protected]
Subject: Re: [Histonet] GMS Question

To get a positive PAS or GMS fungal stain, one must oxidize the carbohydrate in 
the fungal cell wall.
Chromic acid is a stronger oxidizer than periodic acid, so would work better 
with mature fungal cell walls that are highly polymerized.
Treat an immature cell wall for too long, and you may get a false negative 
because the carbohydrate structure no longer resembles a fungal cell wall.

Tresa

-----Original Message-----
From: Paula Lucas [mailto:[email protected]]
Sent: Friday, May 01, 2015 8:17 AM
To: [email protected]
Subject: [Histonet] GMS Question

Hello,



I think I already know the answer but I'm not sure why so if someone can help 
me understand the theory behind it, I would greatly appreciate it.



Currently, we use the Richard Allen kit for the GMS stain and it uses Periodic 
Acid as the 1st step.

We use a control tissue from a case we had that was positive for fungus and 
it's a fungus ball from the Rt Maxillary.

We ran a test for fungus on a different and current case of the same tissue 
(different patient): Rt Maxillary sinus.



The control tissue did work, but the patient's tissue did not, so the doctor 
ordered a PAS for fungus and this clearly showed the fungal elements nicely.




My question is why would the control and patient tissue have different results 
when they are both fungus balls from the same specimen source?



Thanks in advance,

Paula

Lab Manager

Bio-Path Medical Group

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