Dermatophytes Flashcards

1
Q

What are dermatophytes? What are their infections called?

A

molds that infect only keratinized epidermal structures, like superficial skin, hair, feathers, horns, hooves, claws, or nails

ringworm, or dermatophytosis

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2
Q

What state do dermatophytes take in culture?

A

non-parasitic state - produces septate, branching hypahe collectively called mycelium

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3
Q

What asexual reproductive units are present in dermatophytes in their non-parasitic stage? What are they able to develop?

A

conidia are found in the aerial mycelium
- microconidia
- macroconidia

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4
Q

What are the 5 possible hyphal characteristics of dermatophytes in their non-parasitic state?

A
  1. spirals
  2. nodules
  3. rackets
  4. chandeliers
  5. chlamydioconidia (chlamydiospores)
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5
Q

What is present when dermatophytes are in their parasite stage? What is absent?

A

only hyphae, arthroconidias (arthrospores), and other asexual reproductive units

sexual spores (ascospores)

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6
Q

What are the 3 important genera of dermatophytes? What traditional culture medium is used for isolation?

A
  1. Microsporum (M. canis, gypseum, audouinii)
  2. Trichophyton - animals (T. tonsurans, mentagrophytes, rubrum)
  3. Epidermophyton - humans

Saboroud’s dextrose agar

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7
Q

What is unique about Microsporum canis presentation in the skin and hair?

A

produces a fluorescence visible under UV light (366nm, Wood’s light)
- does not fluoresce in culture

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8
Q

Features of Dermatophyte genera:

A
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9
Q

How are dermatophytes transmitted? What enzymes are responsible for their pathogenesis?

A

direct and indirect contact

proteolytic enzymes, like elastase, collagenase, and keratinase, cause inflammation with high iron influx used for fungal growth

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10
Q

What is the pathogenesis of dermatophytes?

A
  • infectious unit (conidium) enters the skin through a defect in the stratum corneum
  • germ tube and hyphae branches develop into arthroconidia
  • shows growth pattern in hairless skin
  • invades hair (ringworm) and germinates with spore formation
  • hyphal strand grow along the hair
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11
Q

How does the location of growth of dermatophytes compare?

A

ECTOTHRIX = accumulation of arthroconidia outside hair shaft

ENDOTHRIX = accumulation of arthroconidia inside hair shaft

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12
Q

Dermatophyte pathogenesis:

A
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13
Q

Dermatophytes and animal hosts:

A
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14
Q

Dermatophytes and nature of lesions:

A
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15
Q

How does ringworm infection typically progress? What animals are most susceptible?

A

normally regressed spontaneously, unless there is a secondary bacterial infection

  • young animals
  • animals in crowded conditions
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16
Q

What is decisive in protection and recovery from ringworm? What immunological response can occur?

A

cellular immune response
- humoral immune response has a limited role

antibody-mediated and cellular-mediated hypersensitivities

17
Q

What vaccine has been used for ringworm?

A

mycelial T. verrucosum vaccine has been used in Europe on cattle

18
Q

How can a patient be diagnosed with ringworm without requiring laboratory diagnosis? What type of samples are recommended for direct microscopy? What stain is used?

A

M. canis and M. audouini may emit fluorescence under a Wood’s lamp

skin scraping and hair samples for hyphae and arthroconidia + 10-20% KOH

lactophenol cotton blue

19
Q

How are dermatophytes typically cultured? What is the target of PCR?

A

Sabourand’s dextrose agar at 25 degrees C, up to 4 weeks

chitin synthase 1 gene

20
Q

What are the most common treatments for ringworm?

A

topical and systemic
- miconazole
- econazole
- ketoconazole
- itraconazole
- thiobendazole

21
Q

How is ringworm infection controlled?

A
  • disinfection of utensils, equipment, and facilities
  • screen animals with Wood’s lamp (ectothrix spores = green)
22
Q

Where are most human ringworm infections acquired?

A

Microsporum canis from animals (pets)
- causes 98% of feline and 70% of canine cases of ringworm in North America

23
Q

How does feline and canine ringworm present?

A

FELINE: subclinical

CANINE: alopecia around the nose, eyes, and ears, but can become generalized

24
Q

How does Microsporum canis grow on medium?

A

white to buff in color with characteristic yellow to orange-brown reverse

25
Q

Ringworm, feline:

A

M. canis

26
Q

Ringworm, canine:

A

M. canis

27
Q

How does Microsporum gypseum presentation compare to others in the genera?

A
  • produces large ectrothrix spores in low numbers, so fluoresence is absent or dull
  • colonies grow fast, producing a flat, powdery, buff to cinnamon brown surface with pale to yellow to tan reverse
28
Q

Ringworm, horse:

A

M. gypseum

29
Q

Microsporum canis vs. Trichophyton verrucosum vs. Microsporum nanum:

A
30
Q

What is Trichophyton erinacei associated with? What is characteristic of hair invasion?

A

ringworm in hedgehogs, mice, rats, dogs, and humans

ectothrix

31
Q

What is Tichophyton equinum associated with? What animals are most susceptible? What is characteristic of hair invasion?

A

ringworm in horses, donkeys, and occasionally dogs

foals and yearlings - swellings, small inflamed ulcers with exudate (girth itch), alopecia

large ectothrix spores

32
Q

What is the primary cause of ringworm in cattle? What does it produce?

A

Trichophyton verrucosum

very large ectothrix spore chains

33
Q

How does infected humans and cattle with Trichophyton verrucosum compare? How do colonies grow?

A
  • HUMAN: no fluorescence
  • CATTLE: fluoresces

slow growing, heaped, deeply folded, white-yellow —> unlike other dermatophytes, it grows best at 37 degrees C

34
Q

What is characteristic of Epidermophyton floccosum infection? Does it fluoresce under Wood’s lamp?

A

infects only skin and nails of humans

NO - hair is not attacked