Grocott’s Methenamine (GMS) Silver Staining Procedure

Purpose:
This standard operating procedure (SOP) establishes the standard for staining fungi and pneumocystis using the GMS staining procedure.

Reagents and Materials:

Reagents

0.5% Periodic Acid
Periodic Acid 2.5gm
Distilled water 500ml

5% Borax

Sodium Borate, tetra 5gm
Distilled water 100ml

Methenamine –Silver, Stock
Sigma Diagnostics Co.
1 vial 110mg
Distilled water 100ml

Methenamine - Silver, Working
Methenamine Silver, Stock 25ml
Distilled water 25ml
5% Borax 2ml

.25% Gold Chloride
Gold Chloride 1gm
Distilled water 250ml

2% Sodium Thiosulfate
Sodium Thiosulfate 2gm
Distilled water 100ml

Light Green

Light Green, SF Yellow 1gm
Distilled water 499ml
Acetic Acid 1ml


Materials
Tissue slides and control slides for special stain requested.
Microwave to bake slides.
Staining rack, 20 slide capacity.
Coverslips and synthetic mounting media.



Hazards and Precautions:
See Material Safety Data Sheets.

Sample Preparations:
Paraffin tissue section slides cut at 4 microns.

Calibration and Standardization:
A tissue section slide containing fungi and pneumocystis is stained with each procedure.

Procedure:

1. Deparaffinize and hydrate to distilled water.

2. 0.5% Periodic Acid – 10 minutes.

3. Distilled water rinse.

4. Place in Methenamine Silver Working Solution in a plastic coplin jar with the lid
loosely applied.

Microwave at 50% power for 90 seconds.
If additional staining is necessary microwave 30 seconds more.

5. Distilled water rinse.

6. Gold Chloride – 30 seconds.

7. Distilled water rinse.

8. 2% Sodium Thiosulfate – 1 minute.

9. Distilled water rinse.

10. Light Green – 2 minutes / Routine H&E Procedure.

Make fresh:

Light green 10ml
Distilled water 40ml

11. Distilled water rinse.

12. Dehydrate, clear and coverslip.



Positive control: Dog lung with Blastomyces dermatitidis (Figure 1)

Results:
Fungi and pneumocystis will be sharply stained black with the silver (Figure 1).


Figure 1. Budding yeast of Blastomyces dermatitidis in canine lung.

 

Effective: July 1, 2004
Cherie Chapman
James R. Turk

References:


Sheehan DC, Hrapchak BR: Theory and Practice of Histotechnology, 2nd Ed, CV Mosby, St. Louis, 1980, pp.245-246.

Armed Forces Institute of Pathology Laboratory Methods in Histotechnology, eds. Prophet EB, Mills B, Arrington JB, Sobin LH, American Registry of pathology, Washington, D.C. , 1992, pp.225-227.

Elias JM, Johnsen TA. Positive controls for fungal detection in tissue sections. Am J Med Technol. 1976 Aug;42(8):277-8.

Lopez JF, Grocott RG. Demonstration of Histoplasma capsulatum in peripheral blood by the use of methenamine-silver nitrate stain (Grocott's). Am J Clin Pathol. 1968 Dec;50(6):692-4.

Naimey GL, Wuerker RB. Comparison of histologic stains in the diagnosis of Pneumocystis carinii. Acta Cytol. 1995 Nov-Dec;39(6):1124-7.

Reed JA, Hemann BA, Alexander JL, Brigati DJ. Immunomycology: rapid and specific immunocytochemical identification of fungi in formalin-fixed, paraffin-embedded material. J Histochem Cytochem. 1993 Aug;41(8):1217-21.