Mycology Flashcards

1
Q

Which domain do fungi belong to?

A

Eukarya

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2
Q

What distinguishes fungi from plants?

A

There lack of chlorophyll

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3
Q

What are the 3 different classifications of fungi?

A

Unicellular (yeasts)

Filamentous (moulds)

Dimorphic

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4
Q

What are the characteristics of unicellular fungi (yeasts)?

A

Facultative anaerobes

Reproduce asexually by budding

Produce colonies on agar

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5
Q

What are the characteristics of filamentous fungi (moulds)?

A

Aerobes

Reproduce by conidia (asexual spores)

Produce mycelia on agar

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6
Q

What is the appearance of yeast cells in a Gram stain?

A

Look like Gram positive cocci, but they’re much bigger.

They also undergo budding, which isn’t present in bacteria.

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7
Q

What is the appearance of yeast cells on blood agar?

A

Look like non-haemolytic streptococcus due to the small colonies, but you can tell them apart because of the yeasty smell.

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8
Q

How does penicillium spp. appear on agar?

A

As a filamentous fungus with hyphae and conidia.

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9
Q

Which dye is used to visualise penicillium spp. grown on agar?

A

Cotton blue

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10
Q

What are conidia involved in?

A

Replication

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11
Q

Is penicillium spp. a yeast or a mould?

A

Mould

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12
Q

True or false: most fungi are saprophytes.

A

True

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13
Q

Why are dimorphic fungi best adapted to grow in tissues?

A

Because they can grow as filamentous fungi in the environment and as yeast when they invade – can switch and grow at 37 degrees, unlike most fungi

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14
Q

Where is histoplasma capsulatum found?

A

In caves

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15
Q

What type of a fungus is histoplasma capsulatum?

A

Dimorphic

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16
Q

Which fungi are primary pathogens?

A

Dimorphic fungi

Dermatophytes

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17
Q

What type of a fungi is ringworm?

A

Dermatophyte

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18
Q

What is the difference between dermatophytes and agents of subcutaneous mycoses?

A

Agents of subcutaneous mycoses are low grade pathogens, but anyone can get infected by them.

Innoculated directly into skin, cf. Dermatophytes grow on the skin (love keratin) that don’t invade deeply

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19
Q

Which fungi can cause deforming lesions, e.g. on feet?

A

Agents of subcutaneous mycoses

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20
Q

Which fungi give the biggest problems in medicine?

A

Opportunists, due to the increasing number of immunocompromised patients.

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21
Q

Which type of fungi are the poisonous mushrooms?

A

Toxic fungi

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22
Q

What do toxic fungi produce?

A

Toxins, e.g. aflatoxin (potentially carcinogenic)

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23
Q

Which common disease to the dermatophytes cause?

A

Tinea

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24
Q

What do different species of dermatophytes prefer?

A

Different hosts and tissues

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25
Q

Do dermatophytes often cause infections in humans?

A

No

Rarely cause infections of humans

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26
Q

What do dermatophytes live off?

A

Live off shed things, like hair and nails

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27
Q

Where do human-specific dermatophytes grow?

A

In hair and release by-products, which we react to

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28
Q

What is ringworm’s proper name?

A

Tinea corporis

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29
Q

In which order do ringworm lesions heal?

A

From the inside and spread

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30
Q

What does scaling in tinea result from?

A

The patient reacting to the metabolites created by the dermatophyte.

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31
Q

Where is tinea cruris?

A

Near the groin

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32
Q

Where is tinea pedis?

A

Feet

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33
Q

Where is tinea capitis?

A

Scalp

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34
Q

Where is tinea unguium?

A

Nails

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35
Q

What is mycetoma also known as?

A

Maduromycosis

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36
Q

What are the two types of mycetoma (maduromycosis)?

A

Bacterial and fungal

37
Q

What is bacterial mycetoma called?

A

Actinomycetoma

38
Q

What is an example of a bacterial mycetoma?

A

Nocardia spp.

39
Q

What does Nocardia spp. cause?

A

Actinomycetoma

40
Q

True or false: only actinomycetes will cause actinomycetoma.

A

True

41
Q

What is fungal mycetoma also referred to as?

A

Eumycetoma

42
Q

Which species will cause fungal mycetoma (eumyctoma)?

A

Madurella spp.

43
Q

What is special about mycetoma (maduromycosis)?

A

One of the few conditions than can be caused by a bacterium or a fungus, important because bacteria and fungi are susceptible to totally different antimicrobials – there’s no overlap.

44
Q

Why can’t we use antibiotics that kill both bacteria and fungi?

A

Because they’ll also kill us because they have low selective toxicity

45
Q

What is characteristic of mycetomas?

A

Sulphur granules and yellow discharge

46
Q

What is present in the sulphur granules of mycetomas?

A

Inflammatory cells

47
Q

What kind of bacteria are present in the actinomycetoma granules?

A

Branching bacteria

48
Q

What is present in the eumycetoma granules?

A

Filaments and hyphae with septa between the hyphae cells

49
Q

What are some examples of subcutaneous mycoses?

A

Mycetoma

Chromoblastomycosis (chromomycosis)

Phaeohyphomycosis

50
Q

What are some examples of opportunistic mycoses?

A

Candidiasis (Candida albicans)

Cryptococcosis

Aspergillosis

51
Q

What causes candidiasis?

A

Candida albicans

52
Q

What are the 3 different types of candidiasis infections?

A

Mucocutaneous candidiasis

Chronic mucocutaneous

Systemic

53
Q

What is mucocutaneous candidiases?

A

Infection of the mucous membranes and skin (often both)

54
Q

What group of people get chronic mucocutaneous candidiasis?

A

People who have specific but different kinds of immune defects that don’t allow them to get rid of candida, so when they get infected, it becomes chronic.

55
Q

What is systemic candidiasis?

A

The fungus invades, causes septicaemia and is often fatal

56
Q

What group of peoples is systemic candidiasis often seen in?

A

Neonates

Patients with advanced immunodeficiency, e.g. severe AIDS

57
Q

What are the 2 agents that cause cryptococcus in humans?

A

C. neoformans

C. gattii

58
Q

What is the most common cause of cryptococcus in humans?

A

C. neoformans

59
Q

Which diseases will cryptococcus cause?

A

Pulmonary infection

Meningitis

60
Q

How does the fungus enter the system in pulmonary infections involving cryptococcus?

A

Inhaled

61
Q

What is cryptococcal meningitis synonymous with?

A

Fungal meningitis

62
Q

What is cryptococcus’ relationship with AIDS?

A

Cryptococcal infection is an AIDS-defining illness

63
Q

How does cryptococcal meningitis present?

A

Insidious, people complain of headaches, but if nothing is done it will kill the person

64
Q

What feature of cryptococcus contributes to its virulence?

A

Massive capsule

65
Q

What do the bacteria that cause meningitis have in common?

A

They are all encapsulated

66
Q

How does aspergillosis occur?

A

Grows as a saprophyte in the tissue by infecting a pre-existing cavity (e.g. from cavitating TB) after being inhaled.

67
Q

How will aspergillosis in a patient who has had cavitating TB appear on X-ray?

A

It will look like cancer in the apex of the lung

68
Q

How do you know if the treatment for the infection is working?

A

Using antigen detection (latex agglutination)

If antigen is going down, treatment is working.

69
Q

What does intact cell mass spectroscopy (IC-MS) detect?

A

Unique biomarkers or patterns in whole bacteria or fungi

70
Q

What are the anti-fungal chemotherapy drug classes used to treat systemically?

A

Polyenes

Triazoles

Echinoandins

5-fluorocytosine

71
Q

What is an example of a polyene used for systemic chemotherapy treatment?

A

Amphotericin B

72
Q

What is an example of a triazole used for systemic chemotherapy treatment?

A

Fluconazole (1st gen)

Voriconazole (2nd gen)

73
Q

What is an example of a echinocandin used for systemic chemotherapy treatment?

A

Capsofungin

74
Q

What are the topical anti-fungal chemotherapies?

A

Polyenes e.g. nystatin

Imidazoles e.g. clotrimazole

75
Q

What are the 2 targets of anti-fungals?

A

Ergosterol

Nucleic acids

76
Q

What is the ergosterol?

A

Found in cytoplasmic membrane of fungi (like cholesterol in our membranes)

77
Q

What effect do polyenes have on ergosterol?

A

Affect integrity - bind with higher affinity to ergosterol than cholesterol, but also bind cholesterol – these are the best antifungals available.

78
Q

What effect do allylamines, triazoles, morpholines have on ergosterol?

A

Affect ergosterol synthesis

79
Q

What is the MoA of 5-fluorocytosine?

A

Affects DNA and RNA synthesis

80
Q

Can humans be affected by 5-fluorocytosine?

A

No

Humans can’t activate the drug, but fungi can.

81
Q

What is used to treat Candida spp.?

A

Fluconazole

Amphotericin B

Caspofungin

82
Q

What is used to treat cryptococcus?

A

Amphotericin B

5-fluorocytosine

83
Q

What is used to treat aspergillus?

A

Voriconazole

Amphotericin B

84
Q

What is used to treat dimorphic fungi?

A

Amphotericin B

85
Q

What doesn’t treatment of dermatophytosis require?

A

Amphotericin B

86
Q

What is a non-specific treatment of dermatophytosis?

A

Reduce fungal load

87
Q

What are the 3 topical treatments for dermatophytosis?

A

Terbinafine (“Lamisil”)

Clotrimazole (“Canesten”)

Amorolfine (“Loceryl”)

88
Q

When is treatment of dermatophytosis with oral medications done?

A

Only if it’s difficult to treat topically or is widely disseminated - also in the nails

89
Q

What are the 3 oral treatments for dermatophytosis?

A

Terbinafine

Fluconazole

Griseofulvin