Fungal Infections of the Respiratory Tract I

Question 1

Zygomycoses

Answer 1

group of uncommon, but potentially fatal infection. infection is rare in normal healthy people

Question 2

How can you identify zygomycoses

Answer 2

non-septate hyphae

sporangia bearing sporangiospores

Question 3

Symptoms of rhinocerebral zygomycosis

Answer 3

nasal congestion, blood tinged rhinorrhea, tender sinuses, headache and fever

Question 4

What can rhinocerebral zygomycosis progress to

Answer 4

facial or periorital edema and visual disturbances, can even get to coma and death

Question 5

How do you treat zygomycoses?

Answer 5

amphotericin B

Question 6

When is candida in yeast form

Answer 6

when it’s normal flora

Question 7

When is candida in hyphal form

Answer 7

when it’s in tissue

Question 8

Symptoms of oral candidiasis

Answer 8

diffuse erythema and white patches on surface of buccal mucosa, throat, tongue and gums
white lesions

Question 9

How do you treat oral candidiasis

Answer 9

oral formations of nystatin and azole

Question 10

Systemic myocses

Answer 10

diverse group of clinical presentations
not opportunity
acquired by inhibition of fungal elements

Question 11

What do clinical syndromes of systemic mycoeses start as

Answer 11

pulmonary infection

Question 12

What are the systemic mycoses

Answer 12

histoplasma capsulatum
blastomyces dermatititdis
paracoccidiodides brasiliensis
coccidiodies immitis

Question 13

Are systemic mycoses dimorphic?

Answer 13

yes

Question 14

Where is histoplasmosis endemic

Answer 14

mississippi and ohio river valleys

Question 15

What is histoplasmosis associated with

Answer 15

bird and bat droppings

Question 16

How is histoplasmosis transmitted

Answer 16

inhalation

Question 17

What happens in your body when it’s infected with histoplasmosis

Answer 17

inhaled sproes are phagocytosed by pulmonary macrophages and convert to yeast form. Yeast replicates within macrophages

Question 18

Symptoms of pulmonary histoplasmosis

Answer 18

mild flu like illness

not a lot of sputum production

Question 19

What is the treatment of pulmonary histoplasmosis

Answer 19

most people don’t need intervention

Question 20

Chronic Pulmonary and Disseminated Histoplasmosis symptoms

Answer 20

similiar to TB but with heptomegaly, splenomegaly, and lymphadenopathy

Question 21

How do you treat chronic pulmonary and disseminated histoplasmosis

Answer 21

Amphotericin B

Question 22

How do you treat someone with chronic pulmonary and disseminated histoplasmosis AND AIDS

Answer 22

lifelong suppressive therapy with azoles

Question 23

Blastomycosis

Answer 23

endemic in ohio and missippi river valley

exists in moist soil high in decaying vegetation content

Question 24

How does blastomyces exist in environment

Answer 24

mold

Question 25

How does blastomyces exist in tissue

Answer 25

yeast

Question 26

How can you tell blastomyces from histoplasma in yeast form

Answer 26

blastomyces has a larger size and very thick cell walls

Question 27

symptoms acute blastomycosis

Answer 27

cough, fever, chills, arthralgia, myalgia

Question 28

symptoms of chronic pulmonary blastomycosis

Answer 28

cough, fever, night sweats, weight loss, sputum

Question 29

Symptoms of disseminated disease of blastomycosis

Answer 29

skin, bone, and urogenital lesions

Question 30

What is the treatment of blastomycosis

Answer 30

amphotericin B