5. Medical Mycology Flashcards

1
Q

Why do only few species cause diseases in mammals?

A
  • Our immune system is effective
  • Grow slowly under low oxygen
  • few are capable of growth at 37 degrees
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2
Q

What are some examples of skin, hair or nail diseases causes by fungi?

A
  • Dandruff
  • Athlete’s foot
  • Toe nail fungus
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3
Q

What fungus group causes superficial infections?

A

Dermatophytes cause ringworm, tinea

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4
Q

What is the mode of infection for superficial infections of fungi?

A
  • Keratinolytic

- Enzymes for breaking down keratin, specialised to these fungi which attach onto the skin

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5
Q

What are subcutaneous infections?

A
  • Usually those from wounding in which the skin surface layer is damaged
  • Infection spreads through the lymph system
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6
Q

Which fungus phylum is the one responsible for causing invasive fungal infections?

A

Microsporidia of phylum microspora

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7
Q

What do the microsporidia lack?

A

Lack normal mitochondria and have no flagella, making them obligate intracellular parasites

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8
Q

What is the spore wall structure of microsporidia?

A

Spore wall is made of chitin (same as fungal wall) and stains with Calcofluor white

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9
Q

What is the life cycle of microsporidia?

A
  • Spores are ingested from the environment
  • They invade host cells by everting structures known as polar tubes
  • The sporoplasm (parasite cell without wall) is injected through the tube into the host cell
  • Replication then spores released
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10
Q

What is Candida albicans and what does it cause?

A
  • C. Albicans is a normal part of most people’s microflora

- Causes thrush, vaginitis, and in rare cases systemic disease

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11
Q

What is one virulence property of C. Albicans?

A

The ability to switch between yeast and hyphal growth

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12
Q

What is dimorphic switching?

A

Transitions between yeast and hyphal forms of growth in Candida

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13
Q

What are the three stages of dimorphic switching in Candida?

A

Budding system, intermediary pseudohyphal stage, filamentous stage

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14
Q

What is the yeast and hyphal stage of candida each most important for?

A
  • Yeast form more important for spreading around the body

- Filamentous form is the one for escaping tissues and macrophages

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15
Q

Where do symptoms of C. Albicans infections arise from?

A

Symptoms develop if bacterial competitors in the natural microflora are disrupted.
- Through antibiotics, during pregnancy (elevated progesterone), stress, abrasion

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16
Q

How does dimorphic switching work in other Candida fungi (not c. Albicans)?

A

Grow as yeast at human body temperature (pathogenic) and as hyphae in the environment

17
Q

What is the infection pathway of cryptococcus spp?

A
  • Bird excretions contain amoeba which affect eucalyptus trees
  • Spores inhaled into lungs
  • Lodge in alveoli
  • Dissemination to central nervous system
  • Positive culture test shows melanin positive and capsule positive
18
Q

What are some properties of aspergillus fumigatus?

A
  • Found everywhere (especially compost)
  • High spore production
  • Resists high temperatures
19
Q

What is systemic aspergillosis?

A

An organ transplant patient may have a suppressed immune system so the fungus grows in tissue

20
Q

What is Farmer’s lung?

A

Inhalation of large numbers of spores, where an overly strong immune system induces an allergic reaction

21
Q

What are so few fungicide classes available in medicine?

A
  • Fungi are difficult to treat because they don’t have much unique biochemistry due to being eukaryotes and close relatives of animals
  • Many antifungals have severe side effects
22
Q

What are azoles?

A

Fungicides which target Erg11 for the synthesis of ergosterol

  • Ergosterol is similar to cholesterol
  • Erg 11 is the enzyme that produces ergosterol
23
Q

What are echinocandins?

A

Fungicides which target Fks1

- Fks1 is the enzyme required for 1,3 beta glucan synthesis of the fungal cell wall

24
Q

What 2 physical syndromes do claviceps purpea cause?

A
  • Gangrenous ergotism (fatigue, prickles, inflammation, gangrene)
  • Convulsive ergotism (cramps, convulsions)