(1) Superficial, Cutaneous, & Subcutaneous Fungi Flashcards
What are the 5 Classification of FUNGI?
- Superficial
- Cutaneous
- Subcutaneous
- Endemic (primary, systematic)
- Opportunistic
Superficial Fungi
what are the characteristic of Superficial Fungi
- Fungi that reside on the superficial part of the bod
- No cellular response of the host
- Skin
- Hair
- No pathology elicited by presence of the fungus
Superficial Fungi
- Seen or observed outside of the body or protective covering of the body, e.g., outer layer of skin
- Does not penetrate the skin or the inside of the body
Fungi that reside on the superficial part of the body
Superficial Fungi
The immune system is not activated which occurs only when the organism gains entry to the body
No cellular response of the host
Superficial Fungi
- All genus and species under superficial infection causes infection mainly on the skin- main site
- Ptyriasis versicolor and Tinea nigra
Skin
Superficial Fungi
Black Piedra and White Piedra
Hair
Superficial Fungi
Since there is no pathology, there is no observable changes seen in the infected site. No serious condition elicited
No pathology elicited by presence of the fungus
Superficial Fungi
MOT of Superficial Fungi
- Person to Person Contact
- Contaminated garment
Enumerate the specific genus and species for Superficial Fungi
- Malassezia furfur (Lipohilic yeast)
- Hortaea (Exophiala) wernickii
- Piedra Agent
Superficial Fungi
- Fat-loving; fungus needs fat for growth
- Endogenous saprophyte/normal skin flora: normally resides in the skin
Malassezia furfur (Lipohilic yeast)
Superficial Fungi
what does the Malassezia furfur causes?
Tinea or Pityriasis versicolor
chronic, mild, asymptomatic infection of stratum corneum (outermost later of the skin)
Superficial Fungi
what can be the clinical presenation of Tinea or Pityriasis versicolor?
Versicolor (causes an opposite color change in the skin):
- Hypopigmented skin (dark skin to lighter)
- Hyperpigmented skin (lighter skin to darker)
Ex. Dark colored skin person – infected area lightens; Light colored skin – infected area
darkens
Superficial Fungi - Malassezia furfur
Tiny, multiple, macular spots, scale and enlarge coalesce to form ____ ____ of intermittent scaling of various shades and colors depending on skin color
parang pimpols
gyrating areas
Superficial fungi
TOF
Areas of skin fail to tan normally if infected with Malassezia furfur
T
Malessezia furfur grown in large numbers in and about hair follicles and sebaceous glands
FOLLICULITIS
Superficial Fungi - Malassezia furfur
- Predominates in the hair follicle causing inflammation
- Appears like an allergic reaction causing reddening of affected area
FOLLICULITIS
Superficial Fungi - Malassezia furfur
Clinical sample used?
Skin (skin scraping ig)
Superficial Fungi - Malassezia furfur
what are the 2 laboratory identification?
- KOH smear
- Culture
Malassezia furfur - Lab Identification
- cluster of round, budding yeast cells (up to 8 um in size) and short, septate, unbranched, nonpigmented hyphal fragments;
- lesions fluoresce under Wood’s lamp
KOH smear
Malassezia furfur - Lab Identification
KOH smear wtih PAS (periodic acid-schiff stain) what will be the characteristic appearance
Spaghetti and Meatballs
- Spaghetti: long hyphal fragments
- Meatballs: budding yeast cells
clusters of budding yeast0like cells and short angular hyphal forms
Malassezia furfur - Lab Identification
this lab identification is not necessary for diagnosis
Culture