Cryptococcus Neoformans: Crypt For Crypto Flashcards

1
Q

What is the morphological feature of Cryptococcus neoformans

A

heavy and prominent capsule

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2
Q

What is the virulance factor of Cryptococcus neoformans

A

Repeating polysaccharide coat making it antiphagocytic

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3
Q

Where is Cryptococcus neoformans normally found

A

In pigeon droppings and the soil

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4
Q

How is Cryptococcus neoformans transmitted

A

Via inhalation

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5
Q

What is the unique enzyme to Cryptococcus neoformans

A

Urease positive

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6
Q

Which patients are normally affected by Cryptococcus neoformans infection

A

HIV

Immunocompromised by high dose steroids or malignancies

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7
Q

What are the symptoms seen in patients with an infection of Cryptococcus neoformans

A

Cough, dyspnea, other lung infections, fever, pneumonia

-Potentially meningitis

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8
Q

What is the most serious complication of infections of Cryptococcus neoformans

A

Meningitis, which can lead to permanent neuro deficits

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9
Q

What is the most common cause of fungal meningitis

A

Cryptococcus neoformans

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10
Q

What are the methods of detection for Cryptococcus neoformans

A
  • Bronchiopulmonary washings of lung
  • staining with mucicarmine red or methanamine silver
  • LP with India ink stain
  • latex agglutination test
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11
Q

What are the stains used for tissue in Cryptococcus neoformans

A

Mucicarmine red or methanamine silver

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12
Q

How is a lumbar puncture tested for Cryptococcus neoformans and what would be the finding

A

Used with India ink staining, producing encapsulated halos

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13
Q

What is the latex agglutination test binding to in Cryptococcus neoformans

A

Detects the polysaccharide antigen and causes them to agglutinate

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14
Q

IN the cause of meningitis caused by Cryptococcus neoformans, what would be seen in the pathology of the brain

A

Soap bubble lesions in the grey matter

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15
Q

What is the treatment for Cryptococcus neoformans

A

Joint therapy of Amphotericin B and flucytosine, followed by fluconazole for regulation

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