Microbiology 9 - Fungal Infection Flashcards

1
Q

Why are fungi saphrophytes?

A

Fungi digest food externally - they secrete proteases to break the food down, therefore they live suspended in their food source.

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2
Q

How do fungi replicate?

A

They replicate via spores.

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3
Q

What are the three types of diseases caused by fungi?

A
  • Allergies
  • Mycotoxicoses
  • Mycoses
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4
Q

What allergic diseases are caused by inhalation of fungal spores?

A
  • Rhinitis
  • Dermatitis
  • Asthma
  • Allergic broncho-pulmonary aspergillosis (in asthmatics)
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5
Q

What is mycotoxicosis?

A

A toxic reaction caused by inhalation or ingestion of a mycotoxin. These are secondary metabolites of moulds which cause toxic effects in humans and animals. Therefore, they are poisons.

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6
Q

List the symptoms of mycotoxicosis.

A

Breathing problems, dizziness, vomiting, diarrhoea, dehydration, hepatic and renal failure.

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7
Q

What is aflatoxin?

A

The most carcinogenic natural compound known - a mycotoxin.

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8
Q

What are mycoses?

A

A disease caused by a fungus which results in superficial, cutanous, subcutaneous, or systemic disease. They are classified in those four categories.

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9
Q

What are superficial mycoses?

A

Superficial cosmetic infections of the skin/hair shaft, which infects dead cells so does not illicit an immune response.

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10
Q

Give some examples of superficial mycoses.

A
  • Black piedra caused by Piedraia hortae

- Dandruff caused by Malassezia globosa.

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11
Q

How does Malassezia globosa cause dandruff?

A

Produces oleic acid, which causes inflammation of the stratum corneum.

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12
Q

What are cutaneous mycoses?

A

Ddermatophytes or keratinophilic fungi ehich produce keratinases capably of hydrolysing keratin. This causes inflammation in the host due to metabolic by-products.

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13
Q

What is tinea capitis?

A

Scalp ringworm - infects the scalp, eyebrows, and eyelashes. A type of cutaneous mycosis.

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14
Q

What is Tinea pedis?

A

Athletes foot - cutaneous mycosis.

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15
Q

What are subcutaneous mycoses?

A

Chronic, localised infections of the skin following traumatic implantation of the fungus. Seen in combat-relate blast wounds.

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16
Q

What is sporotrichosis?

A

Subcutanous mycosis caused by infected cat scratches.

17
Q

What are the two types of fungus causingdeep mycoses?

A

Opportunistic, which require a weakened immune system, and primary which can establish infection in a normal host.

18
Q

Give an example of an opportunistic commensal fungus.

A

Candida albicans. Risk factors include chemotherapy, gut related surgery and catheters.

19
Q

How are fungal infections diagnosed?

A

Skin, soutum, bronchoalveolar lavate, blood, vagina, swab, spinal fluid, tissue biopsy, microscopy. Culture methods or non-culture methods (assays) can be used.

20
Q

What do antifungal drugs target?

A

They target the:

  • Membrane function
  • Cell wall synthesis
  • Nucleic acid synthesis
  • Membrange ergosterol biosynthesis
21
Q

List the main tyoes of antifungals.

A

Polyenes, azoles, and echinocandins.

22
Q

What is a huge problem with antifungal treatment?

A

The development of resistant strains.