Lect 24 Flashcards
What are Dermatophytes
- pathogenic fungi
Dermatophytes require what for growth
- keratin
- hair, nails, skin
- *do not infect mucosal surfaces
Dermatophytes secrete what enzyme that allows for inhabiting keratinized regions of the body
keratinase
What are the three important genera of Dermatophytes? Which can form sexual spores?
- Epidermophyton
- Microsporum**
-
Trichophyton**
- ** sexual spores
What is the infective stage of disease in Dermatophytes
-
Arthroconidium
- can be visulaized in 1-% KOH wet mount
How are Dermatophytes diagnosed
- Hyphae and Arthoconidia can be visualized in dead keratinized tissue
- 10% KOH
- dermatophyte test medium
- sabouraud agar
what is the crude antigen of Dermatophytes (not seen on any other fungus)
Trichophytin: Galactomannan peptide
Trichophytin will create what two immune responses
- CHO component: immediate response
- peptide component: delayed response
the dermatophyte test medium takes advantage of what property of dermatophytes
- dermatophytes utilize nitrogenous compounds preferentially over carbohydrates
- change pH (alkaline) - red color change
dermatophytes can be classified into what 3 groups based on transmission
-
Zoophilic
- animal pathogens that may be transmitted to people
-
Antrophophilic
- human transmission
-
Geophilic
- transmitted through soil to people
- usually invade non-viable keratinized tissue
What types of spores can dermatophytes produce
- Arthrospores: person to person transmission; survive in environment
- microconidia: asexual
- macroconidia: asexual; usually multicellular
- sexual spores
typical clinical manifestation of dermatophyte infection
- lesions are inflammed at edges with a central clearing zone
- hair loss with itching, but not debilitating
predisposing factors to developing dermatophyte infection
- nail trauma
- HIV
- DM
- immunosuppressive meds
What is an allergic dermal reaction to fungal antigens occuring in areas devoid of organisms
“Id reaction”: Dermatophytid
how to prevent dermatophyte infections
- good personal hygiene
- keep skin dry
- regular housecleaning
- use chlorine bleach and detergents