2. Basic Clinical Mycology (II) Flashcards
Percent of KOH used in KOH preparation
15% KOH
Added to KOH preparation that binds to cell wall and fluoresces blue-white under ultraviolet light
Calcofluor white
Used to visualize the capsule of C. neoformans in CSF; negative staining
India ink stain
India ink stain has been replaced with
Cryptococcal antigen test
Fungi stained with Giemsa, Wright-Giemsa
Histoplasmosis capsulatum (intracellular)
Color of fungi in H&E
Pink to pinkish-blue
Fungi stained with Meyer’s mucicarmine
C. neoformans
Color of C. neoformans in Meyer’s mucicarmine
Rose red
Stain for C. neoformans (rose red)
Meyer’s mucicarmine
Color of fungi in Gomori methenamine silver (GMS)
Black
Color of fungi in Papanicolaou stain
Pink to blue
Color of fungi in Periodic acid-Schiff (PAS)
Red or purple
Red or purple color
PAS
Pink to blue
Papanicolaou stain
Black
GMS
Rose red
Meyer’s mucicarmine
Pink to pinkish-blue
H&E
Growth period of yeasts
2-3 days
Growth period of molds
Rapid:
Dictates the texture of fungi colonies
Aerial hyphae
Leathery, waxy texture
Glabrous
Suede, plush texture
Velvety
Texture that looks like Staphylococcus
Yeastlike
Fluffy texture
Cottony
Powdery texture
Granular
Radial grooves, “folded” topography
Rugose
Central depression and raised edge topography
Crateriform
Rough knobs topography
Verrucous
Brainlike topography
Cerebriform
Methods for examination of molds
- tease/cut preparation
- scotch tape preparation
- slide culture
Examination of molds; organism removed directly from culture plate using dissecting needle then placed on a slide
Tease/cut preparation
Examination of molds; a scotch tape is used to transfer aerial hyphae from a colony to a microscope slide
Scotch tape preparation
Examination of molds; organism is subcultured on a piece of agar then covered with coverslip, the organism grows onto coverslip
Slide culture
Best method for examination of molds;
Slide culture
Used to stain and preserve fungal elements in culture isolate
Lactophenol cotton blue (LPCB)
Stain used for examination of molds
Lactophenol cotton blue (LPCB)
3 methods for dermatophyte ID
Hair perforation
Urease test
Trichophyton agars
Rice grain growth
How to do hair perforation for dermatophyte ID?
- 5-10 mm sterile hair is floated on sterile water and yeast extract
- conidia or hyphae are inoculated onto water surface
- remove hair shafts and observe in LPCB weekly for 1 month
Positive for hair perforation for dermatophyte ID
Trichophyton mentagrophytes
Negative for hair perforation in dermatophyte ID
Trichophyton rubrum
Observation time for hair perforation for dermatophyte ID
Weekly for 1 month
Observation time for urease test for dermatophyte ID
5 days at RT
Positive for urease test for dermatophyte ID
T. mentagrophytes
Negative/weak for urease test for dermatophyte ID
T. rubrum
Trichophyton agars used in labs
- Trichophyton agar 1 (without thiamine)
- Trichophyton agar 2 (with thiamine)
Observation time for Trichophyton agars for dermatophyte ID
10-14 days
Media for rice grain growth for dermatophyte ID
Sterile, nonfortified rice grain media
Observation time for rice grain growth for dermatophyte ID
10 days
Fungi differentiated in rice grain growth for dermatophyte ID
Microsporum canis
Microsporum audouinii
Used to dissolve nonfungal materials in skin, nail, hair, fluids, exudates, and biopsy specimens
KOH preparation