Fungal Infections Flashcards

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1
Q

What are the two main phyla of fungi?

A

Ascomycota

Basidiomycota

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2
Q

Which fungus out of the basidiomycetes causes the largest burden of disease?

A

Cryptococcus neoformans and Cryptococcus gatii

Causes cryptococcal meningitis

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3
Q

What three types of illness do fungi cause?

A

Allergies
Mycotoxicoses
Mycoses

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4
Q

Define mycotoxicosis.

A

A toxic reaction to the ingestion/inhalation of toxins produced by fungi

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5
Q

What is known as the most carcinogenic natural compounds and what produces it?

A

Aflatoxin – Aspergillus flavus

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6
Q

Define mycosis.

A

Disease caused by fungi that is classified based on the level of tissue affected

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7
Q

What are the four types of mycosis?

A

Superficial
Cutaneous
Subcutaneous
Systemic

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8
Q

What are superficial mycoses? Give some examples.

A
Mycoses that affect the skin and hair
No tissue is invaded so there is no cellular response 
Black piedra
White piedra
Dandruff
Tinea nigra
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9
Q

What are cutaneous mycoses? Give some examples.

A

Produce keratinases – causes inflammation
Trychopyton and Microsporum are main examples
Other examples:
Tinea capitis
Tinea corporis
Tinia pedis

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10
Q

What are subcutaneous mycoses?

A

Chronic, localised infections of the skin and subcutaneous tissue following traumatic implantation of the aetiological agent.

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11
Q

What type of fungal infection is a big problem in transplant settings?

A

Aspegillosis

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12
Q

What are the three types of candida infection that can occur in the immunocompromised?

A

Mucosal
Systemic
Superficial

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13
Q

What are the three types of mucocutaneous candidiasis that occurs in people with HIV?

A

Oesophageal
Vulvovaginal
Oropharyngeal

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14
Q

What are the main risk factors for systemic candida infections?

A

Chemotherapy
Gut-related surgery
Catheters

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15
Q

What are the three main targets for antifungal therapy?

A

Cell membrane
DNA synthesis
Cell wall

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16
Q

How do antifungals that target the cell membrane work? Give some examples.

A

Fungal cell membranes contain ergosterol instead of cholesterol
Some antifungals inhibits ergosterol synthesis
Examples: azole (itraconazole)
Polyene antibiotics (Amphotericin B and Nystatin)

17
Q

How do antifungals that target DNA synthesis work? Give an example.

A

Pyrimidine analogues are used to interfere with DNA synthesis
Example: Flucytosine (used for Cryptococcus)

18
Q

How do antifungals that target the cell wall work? Give an example.

A

They inhibit the assembly of fungal cell wall components such as glucans and chitin
Example: Caspofungin (a type of Echinocandin)

19
Q

What components are found in fungal cell walls but not in mammalian cell walls?

A

Glucan

Chitin