Fungal pneumonia... everything else look in micro Flashcards
What are three types of fungus that can cause pneumonia?
Histoplasma
Blastomyces
Coccidiodes
Where are histoplasma infections most likely to occur?
Ohio/Mississippi river valley regions
How are histoplasma spread?
Bat/bird droppings
What are the symptoms of a histoplasma infection?
Flu-like
Pulmonary complaints
What is seen on a CXR with a histoplasma infection?
Something that may look like sarcoidosis, TB, or a malignancy
What is associated with histoplasma infection?
Hilar/mediastinal adenopathy
How is histoplasmosis infection diagnosed?
Sputum/bronchoscopic tissue biopsy
Where are blastomyces infections most likely to occur?
Central USA
SE USA
Great Lakes region
What environment do blastomyces live?
Moist soil with decaying vegetation…old wood piles
How are blastomyces transmitted?
Direct contact
Secondary contact…remember the dog story
How do blastomyces spread once in the body?
The bloodstream
Where do blastomyces settle once in the bloodstream?
Skin
Bone/joints
GU
How are blastomyces infections diagnosed?
Sputum/bronchoscopic biopsy
PCR methods are emerging
Where are coccidiodes infections likely to occur?
SW USA…desert/desert like climates
What is another name for coccidiodes infection?
Valley Fever