Cutaneous Mycoses of skin Flashcards
Otomycoses caused by
aspergillus
penicillium
mucor
rhizopus
(opportunistic molds that cause outer ear infections
epi otomycoses
world wide
soil
humans and animals are NOT reservoirs
transmission otomycoses
coming in contact with contaminated fomites
path otomycoses
accumulation of large masses of fungi or bacteria in external ear canal
s/s otomycoses
chronic ear infection itching pain inflammation and loss of hearing
dx otomycoses
fragments of mycelium with or without septa
conidiophores and sporangiospores may be seen
tx otomycoses
ketoconazole
wax hook
tinea faciei caused by
trycophyton mentagrophytes
trycophyton rubrum
infection on glabrous skin of face (hair less)
epi of tinea facial
worldwide
p2p p2m fomite and aerial
pathogenesis of tinea facei
by trycophyton
hypae growing release enzymes producing edema and leukocytic infiltrations
mold allergins cause granuloma formations
tinea facei immunity
PARTIAL protective immunity
s/s of tinea facei
calin annular or circular lesions with raised margins and papule
pruritus burning and erythema are present
dx tinea facei
hyphae with microconida
tx tinea facie
myconazole
tinea barbae
aka
trycophyton interdigitale
trycophyton violaceum
aka barbers itch
epi of tinea barbae
transmission
worldwide
commonly in rural areas (farmers) with high temp and humidity
p2p m2p fomite and aerial
pathogenesis of tinea barbae
trycophyton
mycelia grow into pores of hair shafts causing edema and leukocyte infiltrations
immunity tinea barbae
partial
s.s tinea barbae
trycophyton
mild superficial- scaly lesions with vesiculopusturlar borders bearded areas
- deep pustular- follicular pustules on bearded areas of skin
dx tinea barbae
trycophyton
microconida on hyphae
tx tinea barbae
trycophyton
terbinafide
tinea capitis ectothrix caused by
AKA
microsporum
(audouini and canis) `
aka grey patch ring worm
tinea capitis ecto epi
by microsporum
ecothrix world wide
tina favosa- africa and europe
tinea Capitis ecto transmisison
p2p m2p fomite airborne
tinea capitis ecto immunity
partial
tinea capitis ecto s/s
microsporum
begin as coalesced papule and develop into legions (weeping) and keloids (scars)
allergic reaction – causing severe itching and alopecia
tinea favosa
type of tinea capitis caused by tricophyton schoenleini - mycelia interact with s camp proteins producing dead cell masses in mats of hair– yellowing brown cup shaped skin crusts
tx tinea capitis exto
microsporum
tx- griseofulvin
dx tinea capitis exto
hyphae with macroconida
difference between tinea capitis endo and exo
exo- microsporum
endo- trichophyton (harder to get rid of)
tinea capitis endo caused by
AKA?
trichophyton
(tonsurans and violaceum)
aka black dot ring worm*
path tinea capitis endo
trichophyton
conidia found inside hair shaft
if cuticle involved- initial lesions that develop into erythematous circular lesions