Medical Mycology Flashcards
A specialized discipline in the field of biology concerned with the study of fungi, including their taxonomy, environmental impact, and genetic and biochemical properties.
Mycology
Major factors responsible for the increase in the number of fungal infections
Growing number of immunocompromised people
Major predisposing factors for fungal infections
Immunocompromised host
Complex surgical procedures
Antibacterial therapy
Living on dead or decayed organic matter in nature
Saprophytic
Humans become accidental hosts for fungi by
Inhaling of spores
Direct contact with spores
Introduction of fungal elements into tissue by trauma.
Colony appearance of yeasts
Moist, creamy, opaque or pasty colonies
Colony appearance of molds
Fluffy, cottony, woolly, or powdery colonies
Fungal pathogens that exhibit either a yeast (or yeast-like) phase, and filamentous forms
Dimorphic fungi
When dimorphism is temperature dependent, the fungi are designated
Thermally dimorphic
Ideal temperature for molds
25° to 30°C
Ideal temperature for yeasts
35° to 37°C
The medically important dimorphic fungi
Histoplasma capsulatum
Blastomyces dermatitidis
C. immitis
Paracoccidioides brasiliensis
Sporothrix schenckii
Penicillium marneffei
Fungi that have more than one independent form or spore stage in their life cycle
Polymorphic fungi
Polymorphic fungi groups are temperature dependent. True or false?
False
General characteristics of fungi
Eukaryotic
Thallophytes
Chitin in the cell wall
Ergosterol in the cell membrane
Reproduction by means of spores, produced asexually or sexually
Lack of chlorophyll
Lack of susceptibility to antibacterial antibiotics
Saprophytic nature
Have true nuclei and are heterotrophic members of the plant family
Thallophytes
Sexual reproduction of zygomycota
Zygospores
Asexual reproduction of zygomycota
Sporangiospores
Asexual reproduction of zygomycota
Sporangiospores
Fungi that produce hyaline sparsely septate hyphae
Zygomycota
Clinically important genera of phylum zygomycota
Rhizopus
Mucor
Rhizomucor
Lichtheimia (Absidia)
Cunninghamella
Asexual reproduction of ascomycota
Conidia
Known as asexual spores
Conidia
Sexual reproduction of ascomycota
Ascospores
Sexual form of fungi
Teleomorph
Asexual form of fungi
Anamorph
Fungi that have different asexual forms of the same fungus are called
Synanomorphs
Anamorphic forms of Pseudallescheria boydii
Scedosporium apiospermum Graphium
Species with graphium anamorph
Microsporum spp.
Trichophyton spp.
Pseudallescheria boydii
Teleomorphic form of H. capsulatum
Ajellomyces
Teleomorphic form of Aspergillus
Eurotium
Sexual reproduction of basidiomycota
Basidiospores
Specialized structure where basidiospores are formed
Basidia
The teleomorphic form of C. neoformans
Filobasidiella neoformans
Asexual reproduction of deuteromycota
Conidia
Sexual reproduction of deuteromycota
Lacks sexual reproductive cycle
Fungal infections that involve the hair, skin, or nails without direct invasion of the deeper tissue.
Superficial or cutaneous mycoses
Agents of ringworm, athlete’s foot
Dermatophytes
Examples of subcutaneous infections
Sporothricosis
Mycetoma
Chromoblastomycosis
Phaeohyphomycotic cysts
Agents of systemic fungal infections
Blastomyces
Coccidioides
Histoplasma
Paracoccidioides
P. marneffei
Primary organ involved in systemic mycoses
Lungs
Primary mode of acquisition of systemic mycoses
Inhalation
Agents of superficial or cutaneous fungal infections
Dermatophytes
Tinea nigra
Tinea versicolor
Piedra
Infections that occur primarily in patients with some type of compromise of the immune system.
Opportunistic mycoses
Commonly encountered infections caused by opportunistic mycoses
Aspergillosis
Candidiasis
Cryptococcosis
Zygomycosis
Fungal infections involved in deeper skin layers, including muscle, connective tissue, and bone
Subcutaneous mycoses
Fungal infections that disseminate and involve any organ system
Systemic mycoses
Fungi that produce brown-pigmented structures
Dematiaceous fungi
Phaeoid hyphae
Hyphae with crosswalls
Septate hyphae
Hyphae that is continuous without crosswalls
Aseptate hyphae or Sparsely septate / Coenocytic
Nonpigmented hyphae is considered
Moniliaceous / Hyaline hyphae
Color of dematiaceous fungi
Pale to dark brown or almost black
Stain used to ditermine hyphal pigmentation in the tissue
Masson-Fontana stain
In Masson-Fontana stain
1. Phaeoid hyphae stains ____
2. Hyaline hyphae stains ____
Black
Pink to red
Science devoted to the study of fungi and their relationship to human disease
Medical Mycology
Fungal agents include:
True pathogens
Opportunistic pathogens
Fungi that lack sexual reproduction; they are represented only by mitotic or asexual reproductive state
Imperfect fungi
Fungi that are capable of fungal reproduction = TELEOMORPH
Perfect fungi
Hyphal or mycelial colony of growth
Mold
Unicellular, spherical to ellipsoid (3-5um) fungal cells; reproduce by budding
Yeast
Oxygen requirement of molds
Almost all molds are aerobic
Oxygen requirement of yeasts
Most yeasts are facultative anaerobes
General characteristics of fungi: GMRC
Most are more resistant to osmotic pressure than bacteria
Can grow on very low moisture content
Require less nitrogen than bacteria
Often capable of metabolizing complex carbohydrates, such as lignin
Identification of yeasts is based primarily on
Biochemical testing
How does yeasts divide?
Few divide by BINARY FISSION but most reproduce asexually by BUDDING
Identification of molds is based on
Growth rate
Macroscopic and microscopic appearance
Tubular, branching filaments (2–10 m in width) of fungal cells, mold form of growth
Hyphae
Microscopic units of fungi
Hyphae
Cross-walls that divide hyphae
Septa
Swollen, branching tips that resemble moose antlers ,with lateral and terminal branching
Antler hyphae
Contain enlarged, club-shaped areas resembling a tennis racquet
Raquet hyphae
Tightly coiled showing corkscrew-like turns
Spiral hyphae
Example of antler hyphae
Trichophyton shoenleinii
Example of raquet hyphae
Epidermophytoc floccosum
Example of spiral hyphae
Trichophyton mentagrophytes
Mass of intertwining structure composed of hyphae
Mycelium
Portion of mycelium that grows in or on a substrate and absorbs water and nutrients; anchor the colony
VEGETATIVE PORTION OR THALLUS
Portion of mycelium that contains fruiting bodies that produce the conidia and spores; extends above the agar surface
REPRODUCTIVE PORTION OR AERIAL
Requires formation of special structures so that fertilization or nuclear fission can occur
SEXUAL REPRODUCTION
Do not exhibit a sexual phase; spores are produced asexually from mycelium
ASEXUAL REPRODUCTION
Fungi that have different asexual forms of the same fungus
SYNANOMORPHS
Types of sexual spores
Ascospores
Basidiospores
Zygospores
Oospores
Types of asexual spores
Arthroconidia
Blastoconidia
Chlamydoconidia
Sporangiospores
Contained in a saclike structure called ASCUS
Ascospores
Following meiosis, how many meiospores form within an ascus
4-8
Contained in a club-shaped BASIDIUM
Basidiospores
Following meiosis, how many meiospores usually form on the surface of a basidium
4
Rough-walled spores produced by the fusion of two identical cells arising from the same hypha
Zygospores
Formed by heterogenous fertilization. Involve the fusion of cells from separate, nonidentical hyphae
Oospores
Conidia that result from the simple fragmentation of hyphal cells
Arthroconidia
Simplest type of sporulation
Arthroconidia
Empty spaces that appear between each arthrospores in alternate arrangement
Disjunctor cells
Conidial formation through a budding process
Blastoconidia
Large, thick-walled, usually spherical conidia produced by “rounding-up” and enlargement of the terminal hyphal cells
Chlamydoconidia
Chlamydoconidia formed at the hyphal tip
Terminal
Chlamydoconidia formed at the hyphal sides
Sessile
Chlamydoconidia formed within the hyphal strand
Intercalary
Mitotic spores produced within an enclosed sporangium, often supported by one sporangiophore
Sporangiospores
Asexual spores (mitospores) produced either singly or multiply in long chains or clusters by specialized vegetative hyphae = Conidiophores
Conidia
Flask-shaped secondary segments which produces the conidia = Phialoconidia
Phialides
Ringed structures that produce Annelloconidia
Annellides
Formation of conidia
CONIDIOGENESIS
Conidiogenesis where parent cell enlarges, a septum forms and the enlarge portion splits off to form a daughter cell
Blastic Conidiogenesis
Conidiogenesis where septum forms first and new growth beyond the septum becomes daughter cell
Thallic Conidiogenesis
Small, unicellular with a round, elliptical, or pyriform shape
Microconidia
Large, usually multiseptate, and club oval or spindle shaped; thick or thin walled; spiny or smooth surface
Macroconidia
Term for spiny Macroconidia
Echinulate
Conidia that are produced by a “vase-shaped”
Phialoconidia
Chain of conidia was produced by an
Annellide
Ubiquitous in nature and produce true septate hyphae
All exhibit a sexual form (teleomorph) but also exist in an asexual form (anamorph)
Ascomycota
Generally plant pathogens or environmental organisms that rarely cause disease in humans
Basidiomycota
Not a true phylogenetic group but rather an artificial class
Deuteromycota
Deuteromycota is also known as
FUNGI IMPERFECTI
Characteristics of superficial / cutaneous mycoses
Confined to the outermost layer of skin or hair
All infect keratinized tissues
Causative agent of oral thrush
Candida albicans
Function of spores in fungi
Reproduction
Causative agent of gas gangrene
Clostridium perfringes
Antler hyphae is also known as
Favic chandelier
Trichophyton spp. affects
Hair
Skin
Nails
Epidermophyton affects
Skin
Nails
Microsporum spp. affects
Hair
Skin
Causative agent of Pytiriasis versicolor
Malassezia furfur
Causative agent of rose gardener’s disease
Sporothrix schenckii
Causative agent of fungal meningitis
Cryptococcus neoformans
Unique structure in fungi
Chitin in the cell wall