Chapter 22 Flashcards
WHat are among the most dfficult diseases to diagnose and treat?
Mycoses (fungal diseases)
Fungi are found __[a]__ in environments. and they can be aquired thru eating, breathing, and trauma. T/F?
a- everywhere
b-True
Most mycoses are not contagious with the major exception of _____
dermatophytes
Blastomyces coccidiodes histoplasma Paracoccidioides are four fungi that are ususally considered to be ______ ______
true pathogens
Candida albicans is opportunistic or a true pathogen?
opportunistic
The three clinical manifestations of fungal diseases?
Fungal infections, toxicoses, allergies
Of the three clinical manifestations, which is the most common? which is often the result of inhalation of fungal spores?
fungal infections are most commom,
allergies are caused by fungal spores
What factor is critical for diagnosis of most mycoses
patient history
Definitive diagnosis of fungal infections aoften require _____ analysis of the fungus involved
morphological
Fungal masses resemble _____ (a structure)
tumors
pulmonary fungal infections may resemble what other disease?
TB
Mycoses most difficult to heal because fungi often resist T cell mediated immune responses. Since fungi are biochemically similar to human cell, ANTIFUNGAL DRUGS OFTEN TARGET ______
ergosterol
Opportunistic infections require two step treatments in immunocompromised patients, first a [a]___ -____treatment to reduce [b]_____ then a [c] ___-___ maintenance therapy to control continuing [d]_____ and prevent new ones
a- high dose
b-pathogens
c-low dose
d- infections
An antifungal therapy: treatment for infections not responding to other treatments and more toxic to humans than most other treatments?
Amphotericin B/ 5-Fluorocytosine
Amphotericin B
Azoles are Fungistatic or Fungicidal?
FUngistatic
Systemic fungal diseases aquired through ______
inhilation
Systemic mycoses caused by pathogenic fungi are all _____
dimorphic
At environmental temps Mycelial thalli composed of ____. And at body temperatures they are ____ yeasts
a-hyphae
b-spherical yeasts
Which is the most common fungal PATHOGEN affecting humans? Coccidioides/Histoplasma
Histoplasma
Histoplasma causes which disease
histoplasmosis
Common source of histoplasma?
bat and bird droppings in soil
Does histoplasma cause systemic mycoses?
yes
Diagnosis of Histoplasmas include what two things?
distinctive budding yeasts and spiny spores
Amphotericin B is preferred drug for those who require treatment of which disease?
Histoplasmosis
Blastomyces cause which disease?
Blastomycosis
Blastomyces is common in _____ soils rich in ____ matter
damp soils
organic matter
Pulmonary blastomycosis can cause pulmonary _____ which are mostly aysymptomatic
lesion
Diagnosis of Blastomycosis is ______ in laboratory cultures. Dimorphism/No morphism
Dimorphism
Amphotericin B can also treat Blastomycosis? T/F
True
Coccidioidomycosis is mostly in SW US and is fungi in ____ soil
desert
Which Fungi grows as a mycelium and produces sturdy chains of asexual spores? Paracoccidioides/ Coccidioides?
Coccidioides
Coccidioidomycosis has a germinated spore that is _______.
parasitic
Coccidioidomycosis most commonly causes _____ conditions
pulmonary
Coccidioidomycosis is diagnosed by the identification of ____ in patient sample
spores
There is a skin test for Coccidioidomycosis? T/F
true
Prevention for Coccidioidomycosis?
face mask
Pneumocystis, candida, aspergillus, cryptococcus, mucor are 5 genera that are _______ fungi
opportunistic
Pneumocystis pneumonia (PCP) part of normal ______ microbiota, most are exposed to it by age 5
respiratory
PCP is usually ______ in immunocompetent people
asymptomatic