KOH is the chemical formula of potassium hydroxide and KOH reagent uses for the rapid detection of fungal elements in a clinical specimen because it clears the specimen making fungal elements more visible during direct microscopic examination. It is very useful for the presumptive diagnosis of the type fungal infections in the field of diagnosis of fungal infections.
20% w/v solution
Potassium hydroxide pellets: 20 g
Distilled water (D/W): up to 100 ml
Expiry date: The reagent is stable for up to 2 years.
Precaution is mandatory during handling potassium hydroxide pellets. It is a highly corrosive deliquescent chemical, thus handle it with great care and make sure the stock bottle of chemical is tightly stoppered after use.
Dimethyl sulphoxide (DMSO) is an organic solvent. This makes it easier to use KOH reagent from cumbersome steps like heating or waiting for a longer duration to clear the specimen making fungal elements more visible during direct microscopic examination. Therefore the addition of dimethylsulphoxide (DMSO) to the KOH reagent enables specimens to be examined immediately or after only a few minutes.
The ink does not stain fungi but it stains cells and other components in the skin. This modification is useful when Malassezia furfur is suspected.