Fungal infections Flashcards
What is topical treatment for oral thrush
nystatin
what is topical treatment for vulvovaginitis/localised cutaneous candida
cotrimazole
what was ORAL treatment for vulvovaginitis / oesophagitis
fluconazole
what does Candida albicans form on a fungal colony
GERM TUBE
what skin condition is candida secondary to
seborrhoeic dermatitis
how do you diagnose candida
skin swab
blood culture - Sabouraud agar
beta-D glucan assay
how long should you give an anti fungal for
min 2 eels
what kind of cryptococcus affects immunodeficient people
C neoformans (A,D)
what cryptococcus affects immonocompetent
C gatti (B,C)
What bird is cryptococcus associated with
pigeons
what stain is used for cryptococcus
india ink
what is the most popular top modern test for cryptococcus now
enzyme immunoassay
how to you treat cryptococcs
amphotericin B 3 weeks
+- flucytosine 2 weeks
fluconazole consolidation for 8 weeks min
maintenance low dose fluconazole 1 year
What is an aspergilloma
fungus ball forming in previous TB region
How do you treat aspergillosis
AMPHOTERICIN IV 6 wks
How do you treat PCP pneumonia
co-trimoxazole
who do mycormycoses affect
immunosuppressed, diabetic patients
what fungal species cause mycormycoses
mucorales e.g. rhizopus
what are features of mycormycoses
cellulitis of orbit / face > discharge of black pus from palate and nose
Retro-Orbital extension causes proptosis, chemises, ophthalmoplegia, blindness
How do you investigate mycormycoses
ISOLATE FROM TISSUE BIOPSY (swab is insufficient)
What antibioptics are used for mycormycoses
ambisone / pocomazone
how do you diagnose fungal infection e.g. tinea pedis
skin scraping
what is pityriasis versicoloured
differential for vitiligo
characterised by discolouration of skin
What is causative agent for pityriasis versicolor
malassezia furfural
