6. Fungi and Fungal Infections Flashcards

1
Q

What are some important features of fungi?

A
  • Eukaryotes
  • Free-living
  • Spore-bearing
  • Absorptive nutrition
  • Lack chlorophyll
  • Sexual and asexual reprodution
  • Cell wall of chitin
  • Most are aerobes or facultative aerobes
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2
Q

What are yeast?

A
  • Single-celled fungi
  • Divide by fission or by budding
  • Form colonies similar to bacteria
  • Facultative aerobes
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3
Q

What is a mould?

A
  • Multicellular, filamentous fungi
    Made up of:
  • Hyphae: long filaments of cells joined together
  • Thallus: body of the mould (made up of many hyphae)
  • Mycelium: large, visible, filamentous mass made up of many hyphae
    Growth:
  • hyphae grow by elongating at the tips
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4
Q

What does it mean when a fungi is dimophic?

A
  • It means it can exist as multicellular fungi (moulds) or single-celled (yeasts)
  • Feature of many pathogenic fungi, usually dependent on temperature:
  • At 37 degrees: yeast form (reproduce by budding)
  • At 25 degrees: mould form (produce aerial and vegetative hyphae)
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5
Q

Can fungi be haploid or diploid?

A
  • Yes, they are usually in haploid state but can form a diploid nucleus during sexual reproduction
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6
Q

How do fungal spores differ from bacterial spores?

A
  • 1 spore gives rise to a mycelium (bacterial spores give rise to 1 bacterial cell)
  • Produced as part of asexual or sexual reproduction (bacterial spores are formed to survive unfavouble conditions
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7
Q

How are fungi diagnosed in the lab?

A
  1. Direct examination:
    - Large size, distinct morphological features
    - Lactophenol cotton blue
  2. Culturing
  3. Antigen and Antibody detection
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8
Q

Are fungi primarily pathogenic?

A
  • No, they are widely distributed in the environment and some are part of normal flora
  • Of over 100,000 fungal species only 200 are linked to disease in animals (they are primarily plant pathogens)
  • Humans are relatively resistant, only immunocompromised individuals are at high risk
  • Human mycoses (fungal infections) are caused by true fungl pathogens and opportunistic pathogens
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9
Q

What is the key adaption of fungi that can be infectious agents?

A
  • Thermal dimophism- the ability to switch from hyphal cells in environment to yeast cells within the animal body
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10
Q

What are the 5 groups of pathogenic fungi?

- How do you get these infections?

A
  • Direct contact:
    1. Superficial: contamination of skin surface
  1. Cutaneous: contamination of skin surface
  2. Subcutaneous:
    incoculated skin, trauma
  3. Systemic infections: have disseminated to visceral tissues (acquired through inhalation of spores)
  4. Opportunistic mycoses:
    includes Candida, Aspergillus, Cryptococcus and Zygomycota (occur under specific conditions)
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11
Q

What are the most common types of Fungal Mycoses?

A
  • Dermaphytoses:
    a superficial pathogenic fungus that grows on skin, mucous membranes, hair, nails, feathers, and other body surfaces, causing ringworm and related diseases e.g Tinea
  • Dermatophyte genera:
    1. Trichophyton: hair, skin, nails
    2. Microsporon: scalp and skin (not nails)
    3. Epidermophyton: skin and nails
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12
Q

What are cutaneous fungi mycoses?

A
  • Infections strictly confined to keratinized epidermis (skin, hair, nails)
  • Also called dermatophytoses: includes ringworm and tinea
  • Infection is facilitated by moist, chafed skin
  • Causes a long infection followed by localised inflammation and allergic reaction to fungal proteins
  • Called ringworm infections
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13
Q

How is Tinea corporis treated?

A
  • Tinea corporis = ringworm of the body
  • Treated with topical agent
  • Severe widespread cases require systemic griseofulvin treatment
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14
Q

What is invasive candidiasis?

A
  • Usually begins with a normal yeast infection
  • If the body has a functioning phagocytic response the infection stops there- if not the infection spreads to many organs and can cause mortality
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15
Q

What are the main virulence factors of pathogenic fungi?

A
  1. Thermal dimorphism
  2. Toxin production
  3. Capules and adhesion factors
  4. Hydrolytic enzymes
  5. Inflammatory stimulants
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16
Q

What are important defence mechanisms in humans against fungal mycoses?

A
  1. Integrity of barriers and respiratory cilia

2. Cell-mediated immunity, phagocytosis and inflammation

17
Q

What are the features of Cryptococcus infections?

A
  • Common infection in AIDS, cancer or diabetes patients
  • Infection of lungs leads to cough, fever and lung nodules
  • Dissemination to meninges and brain can cause death
  • Diagnosed via negative stain demonstrating encapsulated budding yeast and serological testing
  • Systemic infections require treatment with antifungals e.g. fluconazole and Amphotericin B