Fungal pneumonia... everything else look in micro Flashcards

1
Q

What are three types of fungus that can cause pneumonia?

A

Histoplasma
Blastomyces
Coccidiodes

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2
Q

Where are histoplasma infections most likely to occur?

A

Ohio/Mississippi river valley regions

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3
Q

How are histoplasma spread?

A

Bat/bird droppings

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4
Q

What are the symptoms of a histoplasma infection?

A

Flu-like

Pulmonary complaints

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5
Q

What is seen on a CXR with a histoplasma infection?

A

Something that may look like sarcoidosis, TB, or a malignancy

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6
Q

What is associated with histoplasma infection?

A

Hilar/mediastinal adenopathy

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7
Q

How is histoplasmosis infection diagnosed?

A

Sputum/bronchoscopic tissue biopsy

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8
Q

Where are blastomyces infections most likely to occur?

A

Central USA
SE USA
Great Lakes region

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9
Q

What environment do blastomyces live?

A

Moist soil with decaying vegetation…old wood piles

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10
Q

How are blastomyces transmitted?

A

Direct contact

Secondary contact…remember the dog story

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11
Q

How do blastomyces spread once in the body?

A

The bloodstream

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12
Q

Where do blastomyces settle once in the bloodstream?

A

Skin
Bone/joints
GU

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13
Q

How are blastomyces infections diagnosed?

A

Sputum/bronchoscopic biopsy

PCR methods are emerging

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14
Q

Where are coccidiodes infections likely to occur?

A

SW USA…desert/desert like climates

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15
Q

What is another name for coccidiodes infection?

A

Valley Fever

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16
Q

What are the symptoms of valley fever?

A

Ordinary CAP; OR

Flu-like

17
Q

Where can coccidiodes all disseminate to?

A

Skin
Bone/joints
CNS

18
Q

How are coccidiodes infections diagnosed?

A

Secretion/tissue biopsy

PCR (emerging)

19
Q

How are fungal infections treated?

A

Antifungals (Conazole agents or amphotericin B)