Fungal Disease - Clinical and Pathological Changes Flashcards
What are the mechanisms that fungi cause disease?
Tissue invasion - mycosis
Toxin production - Mycotoxicosis
Hypersensitivity
Pathological changes in Mycoses
- Acute suppurative inflammation
- Chronic inflammation
- Necrosis
Acute suppurative inflammation
Predominantly neutrophilic inflammation
Purulent
May have microabsesses
Chronic inflammation
Complex cell walls aren’t fully degraded when phagocytosed so cause chronic inflammation
* Pyogranulomatous or granulomatous
* Involves macrophages
* Fungal material released into tissues when phagocytes die - causes recruitment of macrophages + cytokines
Necrosis
If fungi invade blood vessels it causes infarction and therefore tissue death
Superficial mycoses examples
Dermatophytosis - ringworm
Dermatomycosis - malassezia, candida
Dermatophytosis clinical signs
Affects keratinised structures
* Alopecia
* Claw disease
* Papules
* pustules
Malassezia infection clinical signs
Erythema
Scale
Hair loss
Lichenification (if chronic)
Candida infection clinical signs
Rare in small animals
Affects skin and mucosae
Ulcers/erosions covered with tenacious yellow/grey exudate
Clinical signs of subcutaneous mycoses
Cutaneous papule or subcutaneous nodules
+/- ulceration
Most commonly on feet/limbs or head
Regional lymphadenopathy
Clinical signs of systemic mycoses
Granulomas/pygranulomas/necrosis in organs
Systemic illness
Manifestation of Aspergillosis
Common soil saprophyte with occasional pathogenic effects
* Inhalation
Local respiratory infections - birds
Guttural pouch mycoses - horses
Nasal aspergillosis - dolichocephalic dogs
* Local inoculation
Keratitis - horse
Mastitis - cattle
* Haematogenous spread from GIT
Mycotic placentitis/abortion - cattle
Diagnostic Tests for Fungal infections
- Direct microscopic examination
- Fungal culture
- Histopathology
- PCR and Wood’s lamp
- Latex agglutination
- ELISA
Direct microscopic examination
Hair pluck (Trichogram)
* For dermatophytosis
Cytology stained with diffquick
* Malassezia - direct/indirect impression smears or acetate tape strips
* Cryptococcus spp. - aspirates/direct smears of cutaneous lesions
Fungal culture
Hair, dry skin scrapings/scale, coat brushings
For dermatophytes
Tissue culture (from biopsy or PM material)
For superficial/deep mycoses