Intro to Fungi Flashcards

1
Q

structure of fungi

A

-chemo-organotrophic eukaryote that lacks chlorophyll and forms spores
-its cell wall contains polysaccharides, often chitin or glucan, and it absorbs nutrients
-its membrane contains ergosterol as the major sterol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Classification of fungi

A

Based on morphology
Refer to major types as moulds, yeasts or mushrooms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

3 fungal groups

A

Basidiomycets (mushrooms), ascomycetes, zygomycetes (moulds)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How do we officialy classify fungi

A

by their sexual spores produced

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

common diseases caused by fungi

A
  • athlete’s foot: caused by Epidermophyton, Microsporum and Trichophyton spp
  • thrush: caused by Candida spp
  • pityriasis versicolor: caused by Malassezia spp
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

main dermatophyte virulence factor of fungi

A

enzyme(s) that degrade and utilize keratin as a nutrient source

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

dermatophytosis

A
  • fungal infection of the skin
  • causative agents= epidermophyton, microsporum and trichophyton
  • moulds with a predilection to degrade keratin as a nutrient source
  • dermatophytes can cause superficial infections of the skin, hair, and nails
  • “ringworm” infections, usually called tinea
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

host factors contributing to pathogenicity of fungal infections

A
  • Favourable micro-environments (warm, moist areas) encourage growth of fungi on skin and mucous membranes
  • broad-spectrum antibacterial agents reduce competition for epithelial colonization sites in the gut
  • immunosuppression of all types may create a window of opportunity for fungal invasion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Ways immunosupression of host defences can be caused

2 ways

A

*Iatrogenic= steroids, anti-cancer chemotherapy, solid-organ transplantation
*Disease processes=AIDS, leukaemia, endocrinopathies
*Combinations of both

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Systemic fungal infections

A
  • affect internal organs and are less common
  • can be fatal in immunosuppressed patients
  • treated with oral or parenteral agents
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

candida infections

A

-Candida spp. are yeasts
-clinical diseases= superficial (mouth, vagina, penis, skin, nails), deep-seated (disseminated infections in seriously immunocompromised hosts- neutropenia, abdominal surgery, major burns, etc.)

e.g. c.albicans

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Explain the dissemination of candida spp

A
  • Break in wall (e.g. GI tract due to venous catheter)
  • Fungal particles (yeast) can escape into bloodstream (translocation) and become resistant to antifungal treatment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Chronic mucocutaneous Candida infection

A

can arise in individuals with an unusual combination of endocrine and immune dysfunction (autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy — APECED)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Aspergillosis

A
  • causative species= aspergillus fumigatus, aspergillus flavus, aspergillus nidulans (in CGD patients), aspergillus lentulus, other species on rare occasions
  • types of disease= simple asthma, asthma with eosinophilia, aspergilloma, invasive bronchopulmonary aspergillosis, disseminated aspergillosis
  • route of infection= inhalation of conidia (spores through lungs)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

invasive pulmonary aspergillosis

A
  • mainly associated with haematological malignancy
  • specific diagnosis very difficult
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Cryptococcosis

A

can cause meniggitis (particularly in AIDS patients) and disseminated infection in severly compromised hosts

17
Q

Damage-response interaction

A

Dont want too weak or strong of an immune resposne as both can be potentially harmful

18
Q

diagnostic methods

A
  • direct detection- histopathology, high-res CT scans
  • dermatophytes visualised directly in skin scales
  • direct smear= periodic acid shiff (PAS) -staining
    detection of circulating fungal antigens
    detection of circulating antibodies to fungi
    PCR for fungal DNA
    culture of fungus from normally sterile site
    MALDI-ToF Biotyping
19
Q

antifungal agents

A
  • polyenes= e.g. amphotericin B (topical, IV, lozenge, ointment, oral suspension), nystatin (topical, pastille, oral suspension)
  • azoles= e.g. clotrimazole, miconazole, several others (topical), fluconazole, itraconazole, voriconazole (oral and/or IV), posaconazole (oral)
  • echinocandins= e.g. anidulafungin, caspofungin, micafungin (IV)
20
Q

4 main antifungals and each of their functions

A
  • Triaxoles/allylamines - target sterols
  • Echinocandins p target wall
  • Polyenes - target membrane
  • Flucytosine - target DNA synthesis
21
Q

problems with antifungals

A

*Spectrum of activity
*Static or cidal
*IV vs oral
*Toxicity
*Resistance
*Cost