1.1-INTRODUCTION Flashcards
is the science devoted to the study of
fungi and their relationship to human disease
Medical mycology
Medical mycology encompasses _________- as agents of disease
single-celled yeasts
and filamentous molds
The body yeast found among elderly patients are single-celled yeasts, and oftentimes seen in their
budding process
sometimes they appear like plants, they have tube-like structures that acts as their branches, and they appear to have attached spores that may appear as leaves or fruits
filamentous molds
filamentous molds scientific term
thallophytes
TRUE PATHOGENS THAT
CAUSE SYSTEMIC INFECTIONS
Histoplasma capsulatum
Blastomyces dermatitidis
Coccidiodes immitis
Paracoccidioides brasiliensis
Histoplasma capsulatum
o Cause
Histoplasmosis
Blastomyces dermatitidis
o Cause
Blastomycosis
Coccidiodes immitis
o Cause
Coccidioidomycoses
Paracoccidioides brasiliensis
o Cause
Paracoccidioidomycoses
Opportunistic pathogens infect those who are
immunocompromised or immunosuppressed
immunocompromised or immunosuppressed
such as
Patients with underlying health conditions
Patients with weakened immune system
Patients with underlying health conditions eg
diabetes, hiv
Patients with weakened immune system eg
elderly
seen in elderly women and is also seen among female patients who overuse feminine wash products
Moniliasis
Moniliasis
infection caused by
Candida albicans
OPPORTUNISTIC PATHOGENS THAT
CAUSE SYSTEMIC INFECTIONS
Aspergillus
Candida spp
Cryptococcus neoformans
Zygomycetes
o Common in patient with diabetes
o They thought that a patient has a lung tumor, but then it was found out that it was a fungal ball, that’s what we call
Aspergilloma
Aspergilloma caused by
Aspergillus
Candida spp.
o Common in immunocompromised patients
o Called
Candidiasis
Cryptococcus neoformans
o Among HIV patients
o Called
Cryptococcosis
Zygomycetes
o Genera under Zygomycetes:
Mucor
Rhizopus
Rhizomucor
Absidia
Cunninghamella
DEMATIACEOUS FUNGI aka
Phaeoid fungi
Fungi whose cell wall contain melanin, which imparts brown to black pigment
DEMATIACEOUS FUNGI
the infections caused by this produce lesions with dark color or in the hair there’s nodules dark in color
DEMATIACEOUS FUNGI
dematiaceous fungi Can be demonstrated using special stain
Masson-Fontana
DEMATIACEOUS FUNGI Contain _______in their cell wall
melanin
EXAMPLES of dematiaceous fungi
o Cladophialophora bantiana
o Wengiella dermatitidis
fungi that causes brain abcesses
o Cladophialophora bantiana
Causes Phaeohyphomycosis, an example of a subcutaneous mycosis
o Wengiella dermatitidis
AKA Exophiala dermatitidis
MONILIACEOUS FUNGI AKA
hyaline fungi
Non-pigmented, no melanin fungi
MONILIACEOUS FUNGI
Hyphae is usually what color in moniliaceous fungi
pink to red
hyaline fungi examples
o Scedosporium spp.
o Trichodema spp.
o Aspergillus spp.
Fungi that have two growth forms, such as mold and yeast
DIMORPHIC FUNGI
DIMORPHIC FUNGI Examples
fungi that causes systemic infections or mycoses
Hyphal or mycelial colony of growth
Usually found in ambient temperature (23-25 °C)
Appear plant-like microscopically
MOLD
Unicellular, spherical to ellipsoid (3-5um) fungal cells; reproduce by budding
YEAST
Yeast form are found in the body at physiologic temperature of
37°C
fungi that lack sexual reproduction; they are represented only by an anamorph
IMPERFECT FUNGI
IMPERFECT FUNGI fungi that lack sexual reproduction; they are represented only by an
anamorph
IMPERFECT FUNGI
EXAMPLES
Deuteromycetes fungi
belonging to phylum Deuteromycota
They lack sexual reproduction
Deuteromycetes fungi
Deuteromycetes fungi Examples:
Sporothrix spp.
Epidermopyton,
Candida spp.
Fungi that are capable of fungal reproduction, teleomorph
Capable of sexual and asexual form
PERFECT FUNGI
PERFECT FUNGI
EXAMPLES:
o Ascomycetes
Sexual spore: Ascospores
o Zygomycetes
Sexual spore: Zygospores
o Basidiomycetes
Sexual spore: Basidiospores
o Asexual form of fungi: ____
o Sexual form of fungi: ____
Anamorph
Teleomorph
FUngi are Classified as
thallophytes
One key feature that differentiates them from bacteria as they have
true nuclei and are heterotrophs
Their cell wall and membrane contain
polysaccharides
COMPONENT OF FUNGI
______ in the cell wall
______ in the cell membrane
o Chitin
o Ergosterol
Why do fungal infections take longer to treat than most bacterial infections?
Presence of chitin in the cell wall and ergosterol in the membrane
How long does bacterial treatment usually take?
5-10 days (or 7-10 days)
How long can fungal treatment take?
Months or longer
Do fungi contain chlorophyll?
no
Are fungi susceptible to antibacterial antibiotics?
no
What type of drugs are used to treat fungal infections?
Antifungal drugs
What is the feeding mechanism of fungi?
Saprophytic (feed on decaying matter)
What is the oxygen requirement of most molds?
Aerobic
What is the oxygen requirement of most yeasts?
Facultative anaerobes
Why are fungi more resistant to osmotic pressure than bacteria?
Their cell wall composition
Can fungi grow in low moisture environments?
Yes
Do fungi require more nitrogen than bacteria?
No, they require less
What complex carbohydrate can fungi metabolize that bacteria generally cannot?
Lignin
What type of nucleus do fungi have?
Defined nuclear membrane
What type of nucleus do bacteria have?
No membrane
Do fungi have mitochondria?
yes
Do bacteria have mitochondria?
No
What is the composition of the fungal cell wall?
Glucans, mannans, chitin
What is the composition of the bacterial cell wall?
Peptidoglycan
What sterol is found in fungal cell membranes?
Ergosterol
Do fungi have respiratory enzymes in their cell membrane?
NO
Do bacteria have sterols in their cell membrane?
No
What antibiotics are fungi resistant to?
Penicillins, tetracycline, chloramphenicol
What antibiotics are bacteria resistant to?
Griseofulvin, amphotericin B
What is fungal dimorphism?
Ability to exist as both mycelial and yeast forms
Do bacteria exhibit dimorphism?
No
How many chromosomes do fungi have?
More than one, CHON associated
How many chromosomes do bacteria have?
One, not CHON associated
What is the sedimentation coefficient of fungal ribosomes?
80S
What is the sedimentation coefficient of bacterial ribosomes?
70S
At what pH do fungi prefer to grow?
< pH 6.0
At what pH do bacteria prefer to grow?
pH 7.2-7.6
Are humans generally resistant to fungal infections?
Yes, except for dimorphic fungi
What are the major factors increasing fungal infections
Immunocompromised individuals, complex surgeries, antibacterial therapy
How many fungal species are recognized as human pathogens?
100-150 species
How many fungal species cause most human diseases?
About 25 species
Where do most pathogenic fungi naturally live?
As saprobes (decomposers in the environment)
How do humans typically become infected with fungi?
Inhalation of spores or trauma introducing fungal elements into tissue
What fungal infection can be contracted from plant thorns?
Sporotrichosis
What fungus causes Rose Gardener’s Disease?
Sporothrix schenckii
What is a possible source of Sporothrix schenckii infection?
Prick from contaminated rose thorns
How can fungal infections occur in mountaineers?
Scratches from thorny plants in forests