fungi sy/sg

Question 1

red, raised border.

Answer 1

Tinea corporis (Ring worm) from Dermatophytoses
•	The outside edge is active inflammation surrounding a healing center

Question 2

wt loss, night sweats, low grade fever

Answer 2

chronic cavatary pnemonia
all systemic fungi:
Histoplasma capsulatum
blastomyces dermatitidis
coccidioides immitis
Crytococcus neoformans and Cryptococcus gattii
Candidia albicans
Aspergillus fumigatus 
Mucormycosis (zygomycosis)

Question 3

retina: fluffy candidal patches.

Answer 3

disseminated: canadidasis from canadidia albicans in immnocomprimised ppl

Question 4

liver cancer

Answer 4

Aspergillus fumigatus as a carcinogen

Question 5

Rhinocerebral and pulmonary involvement

Answer 5

zygomycosis from Mucormycosis

- as the molds go after the sinuses, cranial bones, and blood vessels.

Question 6

cerebral edema leading to brainstem compression

Answer 6

cryptococcosis from Crytococcus neoformans and Cryptococcus gattii ==> fatal

Question 7

extension of thrush into the esophagus that causes a substernal burning sensation upon swallowing.

Answer 7

Esophagitis: canadidasis from canadidia albicans in immnocomprimised ppl

Question 8

slowly progressive, often asymptomatic, low grade fevers, mild pneumonia, and multiple nodular infiltrates on the chest CT scan

Answer 8

Aspergillosis from Aspergillus fumigatus

Question 9

fever, cough, CXR infiltrates

Answer 9

pnemonia
all systemic fungi:
Histoplasma capsulatum
blastomyces dermatitidis
coccidioides immitis
Crytococcus neoformans and Cryptococcus gattii
Candidia albicans
Aspergillus fumigatus 
Mucormycosis (zygomycosis)

Question 10

cavitations and abscesses in lung

Answer 10

Nocardia asteroids

Question 11

meningoencephalitis

Answer 11

cryptococcosis from Crytococcus neoformans and Cryptococcus gattii

Question 12

crackling and peeling of skin, starting btwn toes

Answer 12

Tinea pedis (athletes foot) from Dermatophytoses

Question 13

hypo or hyperpigmented skin patches that don’t tan with sunlight

Answer 13

Pityriasis versicolor (tinea versicolor) from malassezia furfur.

Question 14

vaginal itching and thick copious secretions.

Answer 14

Vaginitis: canadidasis from canadidia albicans in normal ppl

Question 15

initial small violet, wartlike lesion → joined by others like it over the next months to years.
• Clusters of them look like cauliflower

Answer 15

chromoblastomycosis from Phialophora and cladosporium

Question 16

Inflamed vaginal mucosa with patches of white clumps (cottage cheese) on the vaginal wall.

Answer 16

Vaginitis: canadidasis from canadidia albicans in normal ppl

Question 17

granulomas w calcifications after the resolution of pnemonia

Answer 17

all systemic fungi:
Histoplasma capsulatum
blastomyces dermatitidis
coccidioides immitis
Crytococcus neoformans and Cryptococcus gattii
Candidia albicans
Aspergillus fumigatus 
Mucormycosis (zygomycosis)

Question 18

Infection of preformed lung cavities that were made by TB or cancers

Answer 18

Aspergilloma from Aspergillus fumigatus

Question 19

chronic disseminated dz with weight loss, night sweats, lung involvement, and skin ulcers.

Answer 19

blastomyces dermatitidis

Question 20

dark brown or black painless patches on the soles of the hands and feet

Answer 20

Tinea nigra from exophilia werneckii

Question 21

skin ulcers

Answer 21

cryptococcosis from Crytococcus neoformans and Cryptococcus gattii

Question 22

Mild fever and meningismus.

Answer 22

cryptococcosis from Crytococcus neoformans and Cryptococcus gattii

Question 23

Erosion into the pleural space, dissemination in blood/brain to cause abscesses in the brain or other organs

Answer 23

Nocardia asteroids

Question 24

red scaly lesion with loss of hair that progresses in an expanding ring

Answer 24

Tinea capitis from Dermatophytoses

Question 25

creamy white exudate with a reddish base cover the mucous membrane of the mouth.

Answer 25

Oral thrush: canadidasis from canadidia albicans in normal ppl

Question 26

1 ulcer becomes necrotic, ulcerates ,and heals then others in the lymphatic tract

Answer 26

sporotrichosis from Sporothrix schenckii

Question 27

Causes abscesses after trauma to the mouth or GI tract mucous membranes

Answer 27

Actinomyces israelii
• Named according to where it makes an abscess.
• Cervicofacial actinomycosis, abdominal actinomycosis, thoracic actinomycosis.

Question 28

asthema

Answer 28

Allergic bronchopulomonary aspergillosis (ABPA) from Aspergillus fumigatus

Question 29

meningitis, bone lytic granulomas, skin granulomas (that break down into ulcers), and other organ lesions

Answer 29

disseminated systemic fungi
all systemic fungi:
Histoplasma capsulatum
blastomyces dermatitidis
coccidioides immitis
Crytococcus neoformans and Cryptococcus gattii
Candidia albicans
Aspergillus fumigatus 
Mucormycosis (zygomycosis)

Question 30

bloody sputum

Answer 30

Invasive pneumonias can develop in immunocompromised pts, from blood vessel invasion of the aspergillus hyphae.

Question 31

nails are thickened, discolored, and brittle

Answer 31

Tinea unguium (onychomycosis) from Dermatophytoses

Question 32

itchy red patches on the groin and scrotum.

Answer 32

Tinea cruris (jock itch) from Dermatophytoses

Question 33

Headache, nausea, confusion, staggering gait, and/or cranial n. deficits

Answer 33

cryptococcosis from Crytococcus neoformans and Cryptococcus gattii

Question 34

bone lesions

Answer 34

cryptococcosis from Crytococcus neoformans and Cryptococcus gattii

Question 35

warm moist areas in diapers or under skin folds can become red and mascerated.

Answer 35

Diaper rash: canadidasis from canadidia albicans in normal ppl

Question 36

sulfur granules

Answer 36

Actinomyces israelii: yellow granules from pus draining from the abscesses: really just collections of actinomyces and cellular debris.