Fungal Infections Of The Skin Flashcards
What mycoses is described as spaghetti and meatballs ( thick walled yeast cells mixed with hyphae)
Tines versicolor - malassezia
Malassezia ( furufur and globosa) causes what
Tinea (pityriasis) versicolor - superficial mycoses
You see hyper and hypo pigmentation of upper torso and arms that can be scaled .
Tinea versicolor: malassezia
Skin lesions may fluoresce under wood lamp and can see spaghetti and meatballs
Tinea versicolor: malassezia
A black mold ( demagiaceous) with freq branching hyper (90 degrees)
Tines nigra: hortaea werneckii
Organisms a causing Tines nigra
hortaea werneckii- superficial
Brown to black NON SCALING , macular lesions usually on palms and soles.
Tinea nigra : hortaea werneckii
What are the superficial mycoses
Tinea versicolor : malassezia
Tinea nigra: hortaea werneckii
White piedra: trichosporon
Black piedra : piedraia hortae
Use topical Azoles and Whitfield ointment ( salicyclic acid and benzoic acid)
Tinea nigra : hortaea werneckii
What causes white piedra and what is is associated with
Trichosporon spp associated with poor hygiene
Hyphal with athrocondia and blastoconidia
White piedra : trichosporon spp ( beigelii, inkin)
This mycoses surrounds the hair shaft forming a yellow white granules that look like lice
.White piedra : trichosporon spp
Improved hygiene and haircut are the cure
White and back piedra
What causes black piedra and what is is associated with
Piedraia hortae associated with poor hygiene
Brown black mold of hyphae and spindle shaped acospores
Black piedra : piedraia hortae
Diagnosis is seeing the dark nodule on higher hair shaft
Black piedra : piedraia hortae
Cutaneous mycoses are caused by what
dermatophytes : they use keratin as energy
Types of dermatophytes
Trichophyton
Epidermophyton
Microsporum
This dermatophyte contain no microconidia
Epidermophyton
This dermatophyte contain some microconidia
Microsporum
This dermatophyte contain many microconidia
Trichophyton
The two most common dermatophyte
Trichophyton rubrum and mentsgrophytes
Name of a hair or scalp infection and most common. Cause
Tinea capitis - t. Tonsurans ( endothrix : arthrocondidia in hair)
Infection of feet
Tinea pedis : e. Floccosum, t. Rubrum, t mentagrophytes
Infection of the body
Tinea corporis
Jock itch
Tinea cruris
Nails
Tinea unguium : onychomycosis - candida, scopulariopsis brevicsulis, scytalidum dimidiatum
Beard
Tinea barbae
What culture do you use to grow dermatophytes
Mycoselor mycobiotic agar ( DTM- derm test medium) . Have cycloheximade, chloramphenicol, phenol red, protein and carb sources. - dermis will use the protein and make an alkaline product causing it turn red
Three subcutaneous fungal infections
Sporotrichosis
Chromoblastomycosis
eumycotic mycetoma
Causative agent of sporotrichosis
Sporothrix schenkii
Thermally dimorphic with conidia that contain melanin
Sporotrichosis: Sporothrix schenkii
Rose Pickens disease - north and South America
Sporotrichosis Sporothrix schenkii
Nodules appear at site of infection and spread thru the lymphatics creating additional nodules, which ulcerate
Sporotrichosis Sporothrix schenkii
Hyphae at 25 degrees and yeast at 35 degrees
Sporotrichosis Sporothrix schenkii
Treatment is saturated potassium or itraconazole
Sporotrichosis Sporothrix schenkii
Causative agents of chromoblastomycosis
Cladosporium carrionii
Fonsecaea spp
Phislophora verrucosa
Demariaceous molds all that form muriform cells
Chromoblastomycosis
Infections in feet and legs are common and are large wart like lesions that grow into large Cauliflower like growths . Secondary fibrosis and lymphedema is common -> elephantiasis
Chromoblastomycosis
Causative agents for eumycotic mycetoma
Fusarium spp, curvularia. Spp, scedosporium spp.
Characterized by the formation of multiple granulomas containing aggregate of fungi known as granules or grains
Eumycotic mycetoma
Fungal granules made of mixed hypae and chlamydocondia encased in a hard comment like material
Eumycotic mycetoma
Nodule at initial site of infection that grows. sinus tracts appear on the skin and infection may destroy local tissue And bone
Eumycotic mycetoma
Treatment of this is usually unsuccessful
Eumycotic mycetoma