Fungi Flashcards

1
Q

Describe the fungi kingdom.

A
  • Eukaryotic microorganisms
  • Cytoplasm enclosed in cell wall
  • Cell wall composed of complex carbohydrate polymers, including chitin
  • Nutrition: absorption of organic molecules from the immediate surroundings
  • Reproduction is both by sexual (meiosis) and asexual (mitosis) spores
  • 2 main morphological forms – moulds and yeasts
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2
Q

Describe hyphae.

A
  • The basic cell unit of the moulds
  • An apically elongating cylinder capable of branching
  • Membrane bound nuclei and mitochondria as main energy
  • At intervals, cross walls or septa strengthen the tubular wall but as these have a central pore, the cytoplasm can stream through.
  • The hypha is therefore acellular, often with several nuclei per segment.
  • Burrow into things and can be huge.
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3
Q

What are mycelium?

A
  • Network of hyphae, forming the body of the mould
  • Can consist of submerged vegetative mycelium (in substrate growing on) and aerial mycelium (produce spores, like mushrooms), bearing asexual spore
  • Conidia or sporangiospores
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4
Q

Describe yeasts.

A
  • An alternative growth form to the hypha
  • Consists of discrete, often ovoid cells
  • Reproduce by budding (so have buds on one end, giving lemon shape)
  • Much bigger than bacteria
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5
Q

What are dimorphic fungi?

A

Some can produce both yeasts and hyphae, depending on environmental conditions.

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6
Q

What are pseudo-myecelium?

A

Intermediate form a growth between hyphae and yeasts, in which elongated budding cells form pseudo hyphae.

Colony: in culture, a mycelium or mass of yeast cells, usually grown from a single hyphal fragment or yeast cell. Act of scratching will spread infection.

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7
Q

What are the fungi phylae?

A

Phylum: Zygomycota
Phylum: Ascomycota
Phylum: Basidiomycota
Phylum: Deuteromycota (Fungi imperfecti)

The yeasts are not a taxonomic group, but represent unicellular fungi which may be members of any of the above groups.

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8
Q

What is deuteromycota (fungi imperfecti)?

A
  • An artificial assemblage of fungi which only produce conidia, there being no sexual reproductive state
  • In many cases, these are known to have evolved from either Ascomycota or Basidiomycota
  • Most of the pathogenic species fit here
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9
Q

What are arthrospores?

A

Conidia formed by simple fragmentation of hyphae in dermatophytes.

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10
Q

How are fungi pathogenic?

A

Mycosis (infection) – fungus growing in or on the animal

Allergy (inhaled spores) – chitin in then produce alcohols and other foreign substances that animals can become allergic too.

Toxicosis:
- Mycotoxicosis from spoiled feed
- Mycetism from ingested poisonous fungi

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11
Q

What are the sources of infection?

A

Endogenous – commensal flora, such as candida in GI tract. Oral thrush usually in low levels of the body has reduced competition after antibiotics course and has infection after course.

Exogenous – free living saprophytes, such as aspergillus in hay or parasitic on another animal host, such as microsporum causing ringworm

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12
Q

What are 3 types of fungal infections?

A

Superficial mycoses – epidermis, nail/hair/claws, spines/feathers. Most fungi are better adapted to outer part of the body where temperatures are cooler.

Sub-cutaneous mycoses – traumatic inoculation through skin. Few fungi survive this temperature.

Deep mycoses – inhaled, deep wound or endogenous. Being increasingly seen as they are hard to detect/diagnose and animals are living longer and there is sudden splitting open of encasement within the body.

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13
Q

Why is only topical treatment not enough for fungal infections?

A

Superficial fungi burrow down. Topical treatments will get rid of surface but not target roots. Response is to have increased epidermal growth so bump forms around. Then hyphae move out from original site of infection to find new areas to grow, which is where the most inflammation comes from and why ringworm has its appearance.

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14
Q

Which fungus glows under UV light and why?

A

Microsporum canis

Due to chitin

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15
Q

Name 2 superficial fungal infections.

A

Microsporum canis
Trichophyton verrucosum

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16
Q

What are the effects of cattle ringworm?

A
  • Loss in growth rate
  • Lower milk yield
  • Scarring affects hide value and stock salves
  • Contamination persists for years – often does not work with just topical treatments. Systemic needed as well to kill infection.
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17
Q

Why are fungi less resistant than bacteria?

A

The ones we are interested in only reproduce via budding. If mutation, it will only pass it to other fungi it divides to, cannot pass horizontally.

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18
Q

What are some topical antimycotic drugs?

A

Miconazole shampoo or enilconazole wash or spray

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19
Q

What are some systemic antimycotic drugs?

A

Griseofulvin and terbinafine itraconazole (not licensed)

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20
Q

Why is environmental decontamination needed and how is it done?

A

Dermatology cases often come back in continuously, as the animal can become re-affected from the environment, so:

  • Restrict movement of animals
  • Burn/get rid of bedding, collars and grooming tools
  • Fog spray or wash other surfaces using enilconazole, bleach (less good) or persulphate
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21
Q

What are the properties of deep mycoses?

A

Grow well at blood temperature
- Saprophytes of decaying/self-heating vegetation, such as hay, straw and compost. Aspergillus, mucors
- Gut commensals, such as candida

Not contagious

Opportunistic (predisposition)

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22
Q

What may predispose an animal to fungal infections?

A
  • Immune suppression – natural or induced
  • Age – young and old
  • Trauma
  • Exposure to heavy spore loads
23
Q

What are some examples of mould and yeast deep mycoses?

A

Mould infections – Aspergillus, mucoromycosis, mycotic abortion

Yeast infections – candidosis and cryptococcosis

24
Q

Describe aspergillosis.

A
  • Aspergillus fumigatus, A. flavus, A. niger, A. terreus
  • Main source = hay and straw
  • Spores are 2-3um, impact on alveolar wall due to small size
  • Septate hyphae in tissues upon germination, looking for nutrients
25
Q

Distinguish avian and mammalian aspergillosis.

A

Avian – acute in young chicks and chronic in mature birds

Mammalian – acute in neonate and chronic in mature animals

26
Q

How is chronic aspergillosis nasal lesion in a dog, for example, treated?

A

Alcohols bring produced and being broken down. Dark nose with discharge. Sinuses are bony and difficult to get penetration. Drill into sinuses and get tube of topical cream and fill up sinuses until it comes out. Can also get in horses, rare in cats.

27
Q

Describe bovine mycotic abortion.

A
  • Aspergillus fumigatus, Aspergillus terreus, Absidia (Mycocladus, Lichtheimia), Rhizopus
  • Infection of placenta and foetus. Gross pathology is thickened cotyledons amnion and foetal skin, lesions on amnion
  • Not contagious
  • Animals exposed to high levels of spores
28
Q

How is bovine mycotic abortion diagnosed?

A

Gross pathology – thickened cotyledons amnion and foetal skin

Direct microscopy – KOH or histopathology. Fungal hyphae in tissues and in foetal stomach contents

Culture identification – only trust foetal stomach contents, as these have been protected from the environment.

29
Q

Name 3 yeast infections.

A

Candidosis
Cryptococcus
Malassezia

30
Q

Describe candidosis.

A
  • Candida albicans, C. tropicalis, C. krusei, C. kefyr, etc.
  • Yeasts of normal gut flora
  • Opportunistic infections (after using antibiotics)
  • Mucosal lesions “thrush” gut ulcers, mastitis, deep systemic
31
Q

Describe cryptococcosis.

A
  • Cryptococcus neoformans has capsular forms that have capsules around them to hide from immune system
  • Spreading in the UK with eucalyptus trees, unknown as to why. Grows best is in bird and bat faeces
  • Saprophytic in bird guano
  • Gets deep and remains dormant, and then other infections and stress (immunosuppression) to spread and cause brain infections, for example
  • Nasal granuloma, skin ulcers, deep localised, brain, mastitis
  • Opportunistic (immunosuppression)
  • Highly infectious to humans too.
32
Q

How can cryptococcosis be diagnosed?

A

Direct microscopy
Culture and identification
Serology - antibodies and antigens
Molecular identification

33
Q

What 2 broad categories does fungal disease fall into?

A

Dermatophytes – cause skin disease, especially microsporum and trichophyton spp

Internal disease – especially aspergillus spp

34
Q

Describe the characteristics of antimycotic drugs.

A
  • Most of the drugs are fungistatic and slow infection rather than kill it
  • Most antifungals have a low therapeutic index
  • Despite the external nature of the dermatophyte infections, topical treatment is rarely sufficient and systemic treatment is required.
35
Q

What is the classification of antimycotics?

A

Polyenes – amphotericin B, nystatin
Imidazoles
Terbinafine and related drugs
Echinocandins
Griseofulvin
Flucytosine

36
Q

What is a property of fungal cells that means they can be targeted by antimycotic drugs?

A

Ergosterol rich fungal cell membrane and cell wall

37
Q

How do echinocandins target fungi?

A

Inhibit production or one of the constituents of the cell wall

38
Q

How do azoles and terbinafine target fungi?

A

Azoles and terbinafine and related compounds will target the production of ergosterol, a constituent of the cell membrane.

39
Q

How do polyenes target fungi?

A

Amphotericin and nystatin will target the cell membrane and can lead to destruction/partial destruction of the cell membrane.

40
Q

How does flucytosine target fungi?

A

Interfere with the production of DNA and RNA.

41
Q

How does Griseofulvin target fungi?

A

Interfere with microtubule function, which is important for mitosis and cell growth

42
Q

Describe fungi cell walls.

A

Made up of many substances, including glucans made by enzymes such as PG-13 glucan synthase, which is a drug target itself.

43
Q

Name the drugs affected fungal cell walls.

A

Polyenes
Imidazoles
Terbinafine
Echinocandins

44
Q

Describe the action of polyenes on fungi.

A
  • Naturally produced by some bacteria, such as amphotericin B
  • Related compound is nystatin
  • Fungal cells contain ergosterol in membrane instead of cholesterol in mammalian cell membranes
  • Amphotericin B binds to ergosterol
  • Forms pore in membrane – internal acidification, leakage of cell constituents and internal acidification
  • Fungistatic at concentrations usually used
  • Fungicidal at higher doses
45
Q

What is the activity and limitations of amphotericin B?

A
  • Wide spectrum of activity
  • Poor water solubility and gut absorption – usually delivered as IV treatment or topically
  • Use limited by nephrotoxicity – causes renal artery construction, reducing renal blood flow and glomerular filtration
  • Can also cause GI disturbances, type I hypersensitivity reactions
46
Q

Which drugs impair ergosterol synthesis?

A

Terbinafine: impairs squalene > lanosterol step

Azoles: impairs lanosterol > 14-demthyl lanosterol step

47
Q

Describe the action of terbinafine on fungi.

A
  • Belong to allylamine class of drugs
  • Inhibits squalene epoxidase
  • Squalene accumulates in cell and is toxic
  • Dermatophytosis, subcutaneous and systemic fungal infections in cats and dogs
  • Aspergillosis in birds
48
Q

Describe the action of imidazoles on fungi.

A
  • Inhibit synthesis of ergosterol, leads to accumulation of precursors
  • Disrupts membrane-bound enzyme activity, inhibits cell growth
  • Increase permeability of cell membrane, leading to cell death
  • Orally active – also IV and topical
  • Broad spectrum against skin or systemic infections
  • Relatively non-toxic to host – can cause nausea, vomiting, liver toxicity
49
Q

What are some popular azoles?

A
  • Ketoconazole – first orally active azole, low efficacy
  • Enilconazole
  • Miconazole
  • Itraconazole
  • Clotrimazole
  • Thiabendazole
  • Posaconazole
50
Q

What are the mechanisms of fungal resistance to azoles?

A
  • Mutations in lanosterol 14-demethylase gene
  • Increased expression of lanosterol 14alpha-demethylase
  • Expression of an azole efflux pump (pump that removes azoles from the cell)
51
Q

Describe the action of echinocandins on fungi.

A
  • Inhibit 1,3--glucan synthase, so reduce glucan synthesis
  • Glucans help maintain cell wall structure
  • Cell loses integrity and lyses
  • Potentially useful for treating systemic aspergillosis and of other fungal infections
  • Few side effects
  • Expensive
  • Not currently licensed for vet practice
52
Q

Describe flucytosine action on fungi.

A

Nucleoside analogue, inhibits DNA and RNA synthesis

53
Q

Describe Griseofulvin action on fungi.

A

Binds to microtubules and inhibits mitosis and cell growth