21/11/2025
KOH Mount Test
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1. Objective
The objective of the test was to detect fungal elements such as hyphae, spores, and yeast cells in clinical samples.
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2. Principle
The test was based on the ability of potassium hydroxide (KOH) to dissolve keratin and other tissue debris. This cleared the sample and allowed fungal structures, which resisted KOH, to be seen clearly under the microscope.
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3. Materials
Clinical sample (skin scrapings, nail clippings, hair, sputum, vaginal swab, etc.)
10–20% KOH solution
Clean glass slide and cover slip
Forceps or scalpel
Microscope
Dropper
Personal protective equipment
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4. Procedure (Microscopic Method)
1. A small portion of the sample was placed on a clean slide.
2. One or two drops of 10–20% KOH were added.
3. A cover slip was gently placed over the sample.
4. The slide was left for a few minutes so the KOH could digest the keratin.
5. The slide was examined under the microscope using low and high power.
6. Fungal elements such as hyphae, budding yeast, or spores were looked for.
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5. Result
Positive: Fungal hyphae, budding yeast, pseudohyphae, or spores were observed.
Negative: No fungal elements were seen.
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6. Uses
It was used to diagnose dermatophyte infections.
It helped detect Candida and other superficial fungal infections.
It provided a quick and inexpensive screening method.
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7. Consultation
The patient was advised to consult a dermatologist or physician if fungal elements were detected for proper treatment and follow-up.