Lecture 21 11/16/23 Flashcards
What are thermally dimorphic fungi?
fungi that are single-celled yeast at body temp, but mold forms at colder environmental temps
Which yeast species are thermally dimorphic?
-Histoplasma
-Blastomyces
-Coccidioides
-Sporothrix
What are the characteristics of Blastomyces dermatitidis?
-dimorphic fungus characterized by large, broad-based budding yeast
-endemic to Ohio-Mississippi river valley
What are the characteristics of blastomycosis?
-spores are inhaled
-common in dogs and humans
-disseminated disease is common
-pyogranulomatous/granulomatous inflammation
How can Blastomyces sp. be diagnosed?
-direct detection
-biopsy and histopath.
-fungal culture
-serology
What are the characteristics of Blastomyces treatment and control?
-early recognition important
-treated with amphotericin and/or itraconazole
-no vaccine
What are the characteristics of Histoplasma capsulatum?
-small, oval yeast
-seen in macrophages
-BSL3
-endemic in Ohio, Missouri, and Mississippi river valleys
What are the characteristics of histoplasmosis?
-inhalation of fungus
-transmission favored by dry/dusty conditions and soil disturbance
-common in humans, dogs, and cats
-chronic/active resp. disease or disseminated disease
-intestinal disease in dogs
-granulomatous inflammation
-not usually contagious
-granulomatous chorioretinitis in cats
How are Histoplasma diagnosed?
-microscopic detection
-culture
-serology
-antigen detection
What is the treatment for Histoplasma?
-azoles
-amphotericin B
How can Histoplasma be controlled?
reduce airborne spread of droppings and contaminated dust
What are the characteristics of Coccidioides immitis?
-dimorphic fungus that does not produce a yeast
-produces large, thick-walled spherules containing endospores
-BSL3
-endemic in San Joaquin valley/southwestern US
What are the characteristics of coccidioidomycosis?
-inhalation of arthroconidia
-transmission favored by dry conditions and soil disturbance
-common in humans, dogs, and horses
-chronic/active resp. and disseminated disease similar to TB
-osteomyelitis
How is Coccidioides immitis diagnosed?
-direct detection
-culture
-serology
-antigen EIA
How is Coccidioides immitis treated?
-azoles
-amphotericin B
How is Coccidioides controlled?
reducing airborne spread of contaminated dust
What are the characteristics of Sporothrix schenkii?
-cigar-shaped, elongated, pleomorphic yeast
-lives in plant materials and soil
-disease often subcutaneous/restricted to skin and regional lymph nodes
-common in cats and horses
How is Sporothrix schenkii diagnosed?
-microscopic detection
-culture
What are the treatments for Sporothrix schenkii?
-azoles
-potassium iodide