Mycology Flashcards
Study of Fungi
Mycology
Eukaryotic, with complex carbohydrate cell walls
Fungi
Major membrane sterol; Targeted by imidazole antifungals
Ergosterol
Require organic carbon
Heterotrophic nutrition
Living on dead organic material
Saprophytic or saprobic
Fungus living on another organism
Parasitic
2 Basic Forms of Fungi
YeastMolds
2 types of Host Response
GranulomatousPyogenic
Causes liver necrosis due to amanitin and phylloidin
Amanita mushrooms
Ingestion of contaminated peanuts and grains causes liver cancer due to Aflatoxin
Aspergillus flavus
Dissolves human cells, allowing visualization
KOH preparation
Low pH inhibits the growth of bacteria
Sabouraud’s agar
Infect only superficial keratinized structures; Transmission: direct contact, dogs, cats; Chronic infections often located in warm, humid areas of the body; inflames circular border containing papules and vesicles surrounding a clear area of relatively normal skin
Dermatophytoses
Dermatophyte Infection: Athlete’s foot
Tinea pedis
Dermatophyte Infection: Nails
Tinea unguium
Dermatophyte Infection: Jock itch
Tinea cruris
Dermatophyte Infection: Body
Tinea corporis
Dermatophyte Infection: Scalp
Tinea capitis
Dermatophyte Infection: Facial hair
Tinea barbae
Dermatophyte Infection: Hand
Tinea manum
Treatment for Dermatophyte Infection
Local antifungal creams
Superficial skin infection of cosmetic importance; Hypopigmented areas; Spaghetti and meatballs appearance on 10% KOH
Tinea versicolor (Malassezia furfur)
Treatment for Tinea versicolor
Miconazole
Dimorphic fungus that lives on vegetation; Occurs most often in gardeners, especially those who prune roses; Transmission: thorn prick
Sporotrichosis (Sporothrix schenckii)
Treatment of Sporotrichosis
Itraconazole or Potassium iodide
Dimorphic fungus that exists as a mold in soil and as a spherule in tissue; Transmission: inhalation of arthrospores; Granuloma in bones and CNS; Dissemination in those who have defective CMI
Coccidioides immitis
Influenza-like illness with lung infiltrates, adenopathy or effusions, erythema nodosum (desert bumbs), arthralgias, meningitis
Valley Fever
DOC for Valley Fever
DOC: Amphotericin B
Dimorphic fungus with 2 types of asexual spores; Grows in soil contaminated with bird droppings (Starling) or bat guano; Transmission: inhalation of airborne microconidia
Histoplasma capsulatum
Inhaled microconidia develop into budding yeast inside macrophages; Spread in the liver and spleenn; Dissemination in those who have defective CMI; Closely mimics tuberculosis
Histoplasmosis
Can you name 2 great mimickers of PTB?
Histoplasma capsulatumParagonimus westermani
DOC of Histoplasmosis
DOC: Amphotericin B
Dimorphic fungus with round yeast with broad base bud; Transmission: Inhalation of conidia; Most common cause of fungal pneumonia
Blastomyces dermatitidis
Chronic pneumonia, ulcerates granulomas, lytic bone lesions and prostatitis
Blastomycosis
DOC for Blastomycosis
DOC: Amphotericin B (Fluconazole- if with brain involvement)
Dimorphic fungi with thick yeast with multiple buds in wheel configuration (mariner’s wheel/sailor’s wheel); Transmission: inhalation of conidia
Paracoccidioides brasiliensis
Chronic pneumonia with painful ulcers on mouth and nose
Lutz-Almeida-Splendore Disease
Treatment of Lutz-Almeida-Splendore Disease
DOC: Amphotericin B
May appear as oval yeast with single bud or as pseudohyphae; Form germ tubes in serum and Chlamydo-spores in culture
Candida albicans
Candidiasis in immunocompetent pts
Oral thrushVulvovaginitis (curd-like discharge)Intertrigo (on skin folds)Skin infections (satellite lesions)Onychomycosis
Candidiasis in immunocompromised pts
Pseudomembranous esophagitisSubcutaneous nodulesRight-sided endocarditis (in IV drug users)
Treatment for Candidiasis
Oropharyngeal candidiasis - Nystatin swish and spitEsophageal candidiasis - Nystatin swish and swallowSkin infections - ClotrimazoleDisseminated Candidiasis - Amphotericin BChemoprophylaxis - Fluconazole
Oval yeast with narrow-based bud surrounded by a wide polysaccharide capsule seen in India Ink preparation; Grows abundantly in soil containing bird droppings (especially pigeons)
Cryptococcus neoformans
Test for Cryptococcus neoformans
Positive Latex Agglutination Test (CALAS)
Asymptomatic lung infection (asymptomatic pneumonia), meningitis, encephalitis
Cryptococcidiosis
Treatment of Cryptococcidiosis
DOC: Amphotericin B and Flucytosine (can cross BBB)
Exist only as molds; Septate hyphae that form V-shaped (dichotomous) branches; Transmission: inhalation of airborne conidia
Aspergillus fumigatus
Fungus ball in lung cavities
Aspergilloma
Asthmatic symptoms with expectoration of brownish bronchial plugs
Allergic Bronchopulmonary Aspergillosis (ABPA)
Treatment of Aspergillosis
DOC: Amphotericin B
Saprophytic molds with nonseptate hyphae with walls and branches at right angles
Rhizopus oryzae and Mucor spp.
Rhino-orbital-cerebral Infection with eschar formation; Patients with Diabetic ketoacidosis, burns, or leukemia
Mucormycosis
Indeterminate organism; Major surface glycoprotein undergoes programmed rearrangements; Transmission: inhalation of cysts; Cysts in alveoli induce an inflammatory response consisting plasma cells (frothy exudate that blocks oxygen exchange)
Pneumocystis jiroveci
Most common AIDS-defining illness; Occurs when CD4
Pneumocystis carinii Pneumonia (PCP)
DOC for PCP
Trimethoprim-Sulfamethoxazole