1 - Mycotic

Question 1

Blastomycosis

Answer 1

Midwest
Dudes
Decaying vegetation

Acute - like bacterial pneumonia
Chronic - like TB
Cutaneous - warts, nodules, ulcers

Temp-dependent dimorphic

Question 2

Coccidioidomycosis

Answer 2

Cali, New Mexico, Arizona, TX
HIGHLY INFECTIVE - LAB HAZARD

Worse in Filipinos and preggos

1/3 of CAP in AZ

Acute? Looks like pneumonia
Chronic? Looks like TB
Disseminated - badness everywhere - not in normal people

Question 3

Myocitic dz’s txt

Answer 3

Healthy, acute? Nothing usually

Need txt? -azoles for moderate

Badness, AIDS, etc - amphotericin

Lifelong txt for AIDS

Question 4

Histoplasmosis

Answer 4

Ohio-Mississippi River Valleys

Bats-chickens-soil

Acute? Flu-like

Chronic pulm - dudes, smokers - looks like TB

Disseminated? Fucks up everything

Txt if >1 month or low SpO2

Question 5

Cryptococcosis

Answer 5

Worldwide - pigeon poop

Dudes, AIDS < 200 CD4

Meningitis MC

Cutaneous and pulm can happen, too

Txt everyone - AIDs 4 life

Question 6

Candidiasis

Answer 6

Albicans = MC

Thrush, vaginitis, onychomycosis, esophagitis, intertrigo

Neonates / DM on ABX / Inhaled steroids / immunosuppressed

THINK HIV IN YOUNG ADULT

Vaginal - often after ABX use
Diaper? Nystatin is effective
Candiduria? Nosocomial - just in the bladder