Microbiology Midterm Flashcards

1
Q

Fungi

A
  • They are saprophytes (derive nourishment from dead material) or sometimes parasitic
  • About 100 of the 250,000 known species are pathogens
  • Slow growing eukaryotes (similar to us)
  • Can produce a wide variety of toxins
  • Heterotrophs (require a preformed carbon source for growth)
  • Secrete degradative enzymes and then absorb released nutrients
  • Love dead and decaying matter, however will colonize in humans
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2
Q

Serious Fungal Infections in Healthy People are Very Rare, BUT…

A
  • The population is aging
  • There are more immunosuppressed people due to HIV, transplants, and chemo
  • The development of antifungals has not kept up with need for treatment
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3
Q

Fungi: Groups

A
  1. True Pathogens
    a) Cutaneous infective agents
    b) Sub-cutaneous infective agents
    c) Systemic infective agents
  2. Opportunistic Pathogens
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4
Q

Fungi: Cellular Components

A
  • Cell wall contains chitin, a polymer of N-acetylglucosamine (vs. peptidoglycan in bacteria)
  • Cell membrane contains ergosterol (vs. cholesterol in mammals)
  • Principle method of reproduction and spread is sporulation
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5
Q

Fungi: Filamentous Molds

A

Cottony, fluffy colonies that grow up

Composed of…
-Mycelium: A vegetative body made of many threads, looks like cotton ball
-Arial hyphae: Tubes that grow up from the agar
-Vegetative hyphae: Tubes that grow into the agar
+Can be septate or non septet hyphae, depending on presence of internal dividers

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6
Q

Fungi Reproduction: Asexual Sporulation

A
  • Conidia (asexual spores) are formed by specialized hyphae called conidiophores via mitosis
  • Disperse on air currents
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7
Q

Fungi Reproduction: Sexual Sporulation

A
  • Haploid nuclei from two compatible strains of the same species fuse to form a diploid
  • Diploid undergoes meiosis to form ascospores
  • Much rarer than asexual
  • Spores tend to be distinctive to individual species and can be used to speciate samples
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8
Q

Fungi: Unicellular Yeasts

A
  • Creamy, pasty colonies
  • More likely to cause damage in the body
  • Exist in colonies of unconnected, single cells
  • Commonly spherical
  • Cells are 10X bacteria size
  • Reproduce by budding
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9
Q

Fungi: Cutaneous Mycoses

A
  • Usually caused by the dermatophytes (3 different species - Trichophyton, Epidermophyton, Microsporun)
  • Can be anthropophilic (prefer human skin), zoophilic (animal skin), or geophilic (soil)
  • Dermatophytes use keratin as a source of nutrition
  • They infect skin, hair and nails but do not infect the deeper, non-keratin containing tissues
  • Produce itching, scaling skin patches that can become inflamed or weeping
  • More than one fungi can infect a body part
  • Remove infected skin and treat with topicals
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10
Q

Athlete’s Foot

A

Tinea pedis

  • Cutaneous mycoses
  • Caused by Trichophyton rub, T. mentagrophytes, Epidermophyton floccosum
  • Starts between the toes, spread to toe nails, which become yellow and brittle
  • If skin is broken, bacterial infection can result
  • Common in pools, gyms, public showers
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11
Q

Ringworm

A

Tinea corporis

  • Cutaneous mycoses
  • Caused by Epidermophyton floccosum, several species of Trichophyton and Microsporum
  • Lesions appear as annual rings with a scaly centre, frequently on non-hairy areas of the chest
  • Outside of ring is where fungi are growing and producing inflammation
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12
Q

Scalp Ringworm

A

Tinea wapitis

  • Cutaneous mycoses
  • Most commonly caused by Trichophyton and Microsporum
  • Infected areas can range from small scaly patches to entire scalp
  • Can result in hair loss
  • If Microsporum infects hair shaft, a Woods lamp (long wave UV) will make hair glow green
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13
Q

Jock Itch

A

Tinea cruris

  • Cutaneous mycoses
  • Caused by E. floccosum and T. rubrum
  • Similar to ringworm, but occurs in moist groin area
  • Can spread to thighs and genitalia
  • Common in young adult males
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14
Q

Onychomysosis

A

Tinea unguium

  • Cutaneous mycoses
  • Usually caused by T. rubrum
  • Toenails become thick, discolored and brittle
  • Need to treat for months until the uninfected portion of the nail grows out
  • Common in older people
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15
Q

Fungi: Subcutaneous Mycoses

A
  • Infections of the dermis, subcutaneous tissues and bone
  • Results from puncture wounds
  • No person to person transmission
  • Common in those who have close contact with soil and vegetation, but do not wear gloves
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16
Q

Sporotrichosis

A

-Subcutaneous Mycoses
-Caused by Sporothrix schenckii
+Dimorphous fungus, yeast in infected tissue, mycelial form in culture
-Produces a granulomatous ulcer at the puncture site, and ascending ulcers above the lymph track
-Usually self limiting, but can be chronic
-Treat with oral itraconazole

17
Q

Chromomycosis

A

-Subcutaneous Mycoses
-Caused by Philalophora and Cladosporium
-Produces warty nodules above the lymph track
-Can get into bone
-Difficult to treat
+Cut out lesions?
+Oral flucytosine and thiabendazole

18
Q

Mycetoma

A

Madura Foot

  • Subcutaneous Mycoses
  • Caused by Madurella grisea and Actinomadura madurae
  • Starts as an abscess that discharges blood, pus and serum
  • Can spread to the underlying bone resulting in deformities
  • No chemotherapy
  • Surgery is required
19
Q

Malassezia furfur

A

Pityriasis versicolor
-Lipophilic commensal yeast on skin caused by:
+Macules, non-itchy scaly rash
+Folliculitis
+Dermatitis
+Catheter-associated fungemia
-Treat with topical azalea or oral keto or itraconazole