Microbiology 9- Fungal Infection Flashcards

1
Q

The Fungus kingdom consists of two phyla:

A

Basidiomycota

Ascomycota

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2
Q

What are the two main type of fungal infections

A

ASCOMYCETES-
molds
90% of all human fungal infections

Basidiomycetes
consists of many of the mushrooms that we find
Out of the basidiomycetes, Cryptococcus neoformans and Cryptococcus gatii cause the largest burden of disease CRYPTOCOCCAL MENINGITIS

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3
Q

How do fungi digest their foods

A

Fungi digest their food extracellularly

They produce hydrolytic enzymes which are pumped out into the environment

They are powerful polymer degrading substances which rot the material around them - so the fungus is effectively suspended in its food source

This means that they are SAPROPHYTES

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4
Q

Three Types of Illness caused by Fungi

A

Allergies

Mycotoxicoses

Mycoses

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5
Q

What allergies can you get from fungi

A

Rhinitis

Dermatitis

Asthma

Allergic Broncho-Pulmonary Aspergillosis (ABPA)

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6
Q

What are myctoxicoses

A

DEFINITION: a toxic reaction due to the ingestion/inhalation of toxins produced by fungi

Mycotoxins are secondary metabolites of moulds that exert toxic effects on animals and humans

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7
Q

What are symptoms of myctoxicoses

what are the treatments

A
Breathing problems 
Dizziness  
Severe vomiting  
Diarrhoea  
Dehydration 
Hepatic and renal failure 6 days later 

Treatment:
Gastric Lavage - wash out the toxins
Liver transplant

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8
Q

What is aflatoxin

A

produced by Aspergillus flavus is the most carcinogenic natural compound known

Contaminates grain

If you get aflatoxin poisoning and you have liver damage from hepatitis B then you are at particular risk of cancer

South-East Asia - higher rates of liver cancer possibly due to greater exposure to aflatoxin

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9
Q

What is mycoses

A

DEFINITION: disease caused by fungi which is classified by the level of tissue affected (superficial, cutaneous, subcutaneous, systemic)

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10
Q

What are superficial mycoses

A

Affecting skin or hair

No living tissue is invaded - no cellular response from host

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11
Q

What are Cutaneous mycoses

A

Produce keratinases which are capable of hydrolysing keratin

Inflammation is caused by host response to metabolic by-products

Trychopyton and Microsporum

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12
Q

Subcutaneous Mycosis

A

DEFINITION: chronic, localised infections of the skin and subcutaneous tissue following traumatic implantations of the aetilogic agent

Mycetoma - chronic infection of the skin, subcutaneous tissue and sometimes bone, characterised by discharging sinuses filled with organisms

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13
Q

Where is candida auris/ aspergillosis a big problem

A

hospital/Transplant settings

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14
Q

whats affected by superfical candida infections

A

Mouth, throat, skin, scalp, vagina, fingers, nails, bronchi, lungs or the GI tract

Usually due to impaired epithelial barrier function

Most common in the new born and elderly

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15
Q

What are risk factors of systemic candida infections

A

Chemotherapy

Gut-related surgery

Catheters

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16
Q

Diagnosis of fungal infection

A
Sample Acquisition:
Skin 
Sputum 
Bronchoalveolar Lavage 
Blood 
Vaginal swab/smear 
Spinal fluid 
Tissue biopsy 

Microscopy:
Need to have a well established fungal infection to be able to see it down the microscope

Culture:
Once it has been identified under the microscope, it can be cultured
This allows susceptibility testing

Non-Culture Methods
Antibody and Antigen-based assays can be used to detect fungal polysaccharides:

17
Q

What are Three targets for treating fungal infections

A

Cell Membrane
- Fungi use ergosterol instead of cholesterol

DNA Synthesis

Cell Wall

18
Q

What are the main groups of cell membrane antifungal

A

Azole

Itraconazole and fluconazole

19
Q

How do Fungal DNA/RNA Synthesis Inhibitors work

A

Pyrimidine analogues are commonly used for this