Emergomycosis

Question 1

Under which genus was emergomycosis initially classified?

Answer 1

Emmania genus

Question 2

What are the 5 species of emergomycoses?

Answer 2

E. pasteurianus
E. africanus
E. canadensis
E. orientalis
E. europaneus

Question 3

What is the reservoir of emergomycosis?

Answer 3

Soil therefore risk associated with airborne conidia from soil/dust exposure

Question 4

What is the clinical presentation of emergomycosis?

Answer 4

Primary - unknown
Secondary
- skin
- lung
- RES

Question 5

How is emergomycosis diagnosed

Answer 5

Culture (can take up to 6w)
Microscopy (yeasts)
Cross reacts with commercial histoplasma antigen kit

Question 6

What is the treatment of all non-mild fungal disease?

Answer 6

Amphotericin B 10-14d then itraconazole

Question 7

What is the treatment of all emergomycosis?

Answer 7

Amphotericin B

Question 8

What is the treatment of all talaromycosis?

Answer 8

Amphotericin B

Question 9

What is the duration of anti fungal treatment in histoplasmosis?

Answer 9

6-12m

Question 10

What is the duration of anti fungal treatment in blastomycosis?

Answer 10

6-12m

Question 11

What is the duration of anti fungal treatment in coccidiodomycosis?

Answer 11

Acute pulmonary: 3-6m
Chronic pulmonary: longer
CNS, SOT, HSCT - lifelong

Question 12

What is the duration of anti fungal treatment in paracoccidiodomycosis?

Answer 12

9-12m

Question 13

What is the duration of anti fungal treatment in emergomycosis?

Answer 13

9-12m

Question 14

What is the duration of anti fungal treatment in talaromycosis?

Answer 14

9-12m

Question 15

In which patients must coccidioidomycosis be treated?

Answer 15

1. Immunosuppressed
2. Underlying cardiopulmonary disease
3. CF titres>1:32
4. > 10% weight loss
5. > 50% lung infiltrated