Micro 3 USMLE Flashcards
You can see tinea as mold hyphae with this type of prep. tineas are not dimorphic.
KOH prep
this opportunistic fungal infxn causes thrush in immunocompromized pts (neonates, taking steroids, dbts, AIDS), vulvovaginitis (pts with high pH, dbts, using AB), and chronic mucocutaneous candidiasis
candida albicans
this opportunistic fungal infxn causes allergic bronchopulmonary aspergillosis, lung gavity aspergilloma (“fungus ball”), invasive aspergillosis. It’s MOLD has septate hyphae that branch at a V-shaped (45*) angle. Not dimorphic
Aspergillus fumigatus
this opportunistic fungal infxn causes meningitis and systemic dz. It is a heavily encapsulated YEAST. It is not dimorphic. It is found in soil, pigeon droppings. Culture it on Sabouraud’s agar and stain with India ink. Latex agglutination test detects polysaccaride capusular Ag.
Cryptococcus neoformans
this opportunistic fungal infxn causes systemic dz. MOLD with irregular nonseptate hyphae branching at wide angles (>90*). Dz strikes mostly ketoacidotic diabetics and leukemic pts. Fungi also proliferate in the walls of blood vessels and cuases infaction of distal tissue. Can cause Rhinocerebral and frontal lobe abscesses.
Mucor & Rhizopus spp.
Oportunic Fungal Infxn:
pseudohyphae + buddign yeasts. Germ tubes at 37*C [image p. 147]
candida
Oportunic Fungal Infxn:
45* angle branching septate hyphae. Rare fruiting bodies [image p. 147]
aspergillus
Oportunic Fungal Infxn:
5-10um yeast with wide capsular halo. Narrow based unequal buddign [image p. 147]
cryptococcus
Oportunic Fungal Infxn:
Irregular broad (empty looking) nonseptate hyphae, wide-angle branchign[image p. 147]
Mucor
Yeast that is inhaled and causes diffuse interstitial pnneumonia in AIDS pts
pneumocystis carinii
Dx of P. Carinii
lung bx of lavage. I.D. w/ silver stain.
Tx of P. Carinia
TMP-SMX
prophylaxis when CD4 drops below 200 cells/ml in HIV pts
dimorphic fungus that lives on vegetation often traumatically introduced into the skin, typically by a thorn (“rose gardener’s dz), causes local pustule or ulcer with nodules along draining lymphatics (ascending lymphangitis). Causes little systemic illness. Cigar shaped budding yeast visible in pus.
sporothrix schenkii
tx sporothrix schenkii w/
iatraconazole or potassium iodide.
key words: yeast forms, unequal budding
sporothrix schenkii
causes bloody diarrhea, dysentary, liver abscess, RUQ pain. Is transmitted via cysts in the water. dx by trophosoits or cysts in stool.
entamoeba histolytica
tx of entamoeba histolytica
metronidazole & iodoquinol
Causes bloating, flatulence, foul-smelling diarrhea. Transmitted via cysts in water. Dx by trophozoitese or cysts in stool.
Giardia lamblia
tx of Giardia lamblia
metronidazole
Causes mild watery diarrhea or severe diarrhea in AIDS. Transmitted via cysts in water. Dx by cysts on acid fast stain. No tx
cryptosporidium
causes brain abscesses in HIV and birth defects in neonates. Transmitted by cysts in meat or cat feces. Dx is by seriology or bx.
toxoplasma
Tx of toxoplama
Sulfadiazine + pyrimethamine
Causes malaria: cyclic fever, headache, anemia splenomegaly. Transmitted by Mosquito. Dx is by blood smear.
Plasmodium (vivax, ovale, malariae, faciparum.
Most severe malaria (cerebral) is from infection with
P. falciparum
tx of malaria
Chloroquine
Causes vaginitis: foul-smelling greenish discharge with itching and birning. Sexual transmission. Dx via trophozoites on wet mount
Trichomonas Vaginalis
Tx of Trichomonas Vaginalis
metronidazole
Causes Chagas’ dz (dialated cardiomyopathy, megacolon, megaesophagus). Transmitted via the reduviid bug. Dx by blood smear.
Trypanosoma cruzi
Tx of Trypanosoma cruzi
Nifurimox
Causes african sleeping sickness. transmitted by the tsetse fly. dx via blood smear.
trypanosoma (T. gambiense, T. rhodensiense)
Tx of trypanosoma
suramin for blood borne dx or melarsoprol for CNS penetration
causes visceral leishmaniasis (kala-azar) transmitted by the sandfly. dx by macrophages containing amastigotes.
Leishmania donovani
tx of Leishmania donovani
sodium stibogluconate
causes babesiosis: fever and anemia. transmitted by Ixodes tick. Dx by blood smear, shows no RBC pigment, appears as “maltese cross”
babesia
babesia is tx with
quinine, clindamycin
cause rapidly fatall meningoencephalitis. transmitted by swimming in freshwater lakes (enters via cribiform plate) dx by amebas in spinal fluid. No tx.
Naegleria
helminths are ______
cestodes (tapeworms) & trematodes (flukes) & Nematodes (roundworms)
cestodes are _______
tapeworms
trematodes are ______
flukes
this cestodode is transmitted by eating undercooked pork, larvae can cause mass lesions in the brain or disseminated dz (cystercercosis)
taenia solium
tx for taenia solium
praziquantel/niclosamide; albendazole for cistercercosis
this cestode is transmitted by eggs in dog feces which when ingested can cause cysts in the liver and cause anaphylaxis if antigens are released form cysts
Echinococcus granulosus
tx for Echinococcus granulosus
albendazole
this trematode uses snails as a host. Cercariae penetrate the skin of humans and cause granulomas, fibrosis, and inflammation of the spleen and liver
schistosoma
tx of schistosoma
praziquantel
this trematode is transmitted via undercooked fish. It causes inflammation of the biliary tract
clonorchis sinesis
this trematode is transmitted via undercooked crab meat. It causes inflammation and secondary bacterial infectgion of the lung.
Paragoniimus westermani
tx of Paragoniimus westermani
praziquantel
tx of trematodes (flukes) and many Cestodes (tapeworms)
Praziquantel
Nematodes are ________
roundworms
this nematodes larvae penetrates the skin of the feet causing an intestinal infection that can cause anemia
ancylostoma duodenale (hookworm)
tx of ancylostoma duodenale
mebendazole/pyrantel pamoate
this nematode that causes intestinal infection has eggs that are visible in the feces
Ascaris lumbricoides (giant roundworm)
Tx of Ascaris lumbricoides (giant roundworm)
mebendazole/pyrantel pamoate
this nematode is transmitted by food contaminated with eggs. It causes an intestinal infection and symptoms include anal pruritis
enterobius vermicularis
tx of enterobius vermicularis
mebendazole/pyrantel pamoate
this nematode spreads when larvae in the soil penetrate the skin. It results in an intestinal infection
strongyloides stercoralis
tx of strongyloides stercoralis
Ivermectin/ thiabendazole
this nematode is transmitted in undercooked meat, usually pork and results in inflammation of the muscle and periorbital edema
trichinella spiralis
tx of trichinella spiralis
thiabendazole
this nematode is spread in drinking water. It results in skin inflammation and ulceration
dracunculus medinensis
tx of dracunculus medinensis
niridazole
this nematode is transmitted by the deer fly. It causes swelling in the skin and you can sometimes see worm crawling in the conjunctiva.
loa loa
tx of loa loa
diethylcarbamazine
this nematode is transmitted by femlae blackflies and causes river blindness
Onchocerca volvulus
tx of Onchocerca volvulus
ivermectin
this nematode is transmitted by food contaminated with eggs. It causes granulomas. If it occurs in retina it can lead to blindness. It also causes visceral larva migrans.
toxocara canis
tx of toxocara canis
diethylcarbamazine
this nematode is spread by the female mosquito. It causes blockage of the lymphatic vessels (elephantiasis)
Wuchereria bancrofti