Mycology Flashcards
[Diagnosis]
pseudomembranous esophagitis
candida
[Diagnosis]
pseudomembratous pharyngitis
Diphtheria
[Diagnosis]
Pseudomembranous colitis
C. difficile
[Fungal structure]
Single, budding
yeast
[Fungal structure]
hyphae, mycelia, mitosis
molds
[Fungal structure]
transverse walls
septate hyphae
[Fungal structure]
multinucleated (coenocytic) walls, lack regularly occuring cross walls
non-septate hyphae
What is the growth pattern of hyphae?
Apical growth
___ filamentous cells of molds
Hyphae
Growth of fluffy mass of hyphae into tissue or lab medium
mycelia
___ are hyphae with sausage-like constrictions at septations, formed by some yeast when they elongate but remain attached to each other
pseudohyphae
Ex. C. albicans
___ are formed either asexually or sexual process involving nuclear fusion and then meiosis
fungal spores
Ex. coinidia, blastoconidia, arthroconidia,
___ are fungal spores are asexual spores filamentous fungi (molds) or mushrooms
Conidia
___ are the new yeast buds
blastoconidia
___ the new yeast “buds”
blastoconidia
___ conidia formed by laying down joints in hyphae followed by fragmentation of the hyphal strand
Arthroconidia
Yeast grow into a ____ at room temperature (25 to 30 deg C)
mycelial form
Yeast grow into a ___ at body temperature
Yeast form
Amanita mushrooms cause liver necrosis due to these toxins
- Amantin
2. Phylloidin
Aspergillus flavis cause liver CA due to ___ toxin
aflatoxin
Can cause allergic bronchopulmonary aspergillosis
Aspergillus fumigatus
Sabouraud agar has ___ thus it preferentially allows fungal growth over bacteria
Low pH
[Fungal stains]
___ is a rapid method for CSF to highlight the capsule of C. neoformans
Nigrosin or india ink
[Fungal stains]
___ uses a thick blood or bone smear to detect H. capsulatum
Giemsa or Wright stain
[Fungal stains]
___ lights up fungal elements under a fluorescent blue-white appearance on a black background
Calcoflour white stain
[Fungal stains]
dark gray to black
Gomori methamine silver stain
[Fungal stains]
hot pink to red
Periodic acid-schiff reaction
[Fungal stains]
purplish rose with a yellow background
Gridley Fungus stain
[Morphology in Microscopy]
Yeast with capsule
Cryptococcis
[Morphology in Microscopy]
hyphae, septate in skin or nail specimen
Dermatophytosis
[Morphology in Microscopy]
hyphae, nonseptate
mucormycosis
[Morphology in Microscopy]
yeast and pseudohyphae
Candidiasis
[Morphology in Microscopy]
spherules
Coccidiomycosis
[Morphology in Microscopy]
sclerotic cell (browinish cell walls)
Chromoblastomycosis
[Morphology in Microscopy]
Sulfur granules
Mycetoma
[Morphology in Microscopy]
arthroconidia in hair
Dermatophytosis
[Fungal stains]
best used for studying host reaction for determining hyalin or dermatiaceous nature of fungi
H and E stain
[Fungal stains]
provides high contrast with minimal background staining, better demonstration of sparsely present fungal elements in sample
Gomori Methamine Sulver
[Pharma]
bind to ergosterol forming pores
Amphotericin B
[Pharma]
Inhibit lanosterol 14-alpha- demethylase, blocks ergosterol synthesis
Azoles
[Pharma]
inhibit epoxidation of squalene
Terbinafine
[Pharma]
inhibit beta-glucan synthase decreasing fungal cell wall synthesis
Echinocandins
-fungin
[Pharma]
blocks nucleic acid synthesis by inhibiting DNA and RNA polymerase
Flucytosine
[Pharma]
interfere with microtubule function in dermatophytes
Griseofulvin
[Dermatophytoses]
What enzyme is secreted by dermatophytoses resulting to its preferential infection only in the superficial layer of the skin?
Keratinase
It cant grow above 37 degrees C also
[Dermatophystosis]
No nail infection
(+) skin (+) hair
Microsporum
[Dermatophystosis]
With nail and skin infection
no hair infection
Epidermophyton
___ inflammatory reaction to dermatophytosis at a cutaneous site distant from the primary infection
Dermatophytid reaction
____ superficial fungal infection localized to the stratum corneum; hypopigmented areas, degradation of lipids leads to production of acids and then destruction of melanocyte
Tinea versicolor
[Diagnose]
spaghetti and meatballs
T. versicolor
Tx: miconazole
[Diagnose]
garderner, prunes roses, thorn prick transmission
Sporothrix schenckii
Tx: itraconazile
Potassium iodide for cutaneous form; ampho B for systemic disease
[Systemic Mycosis]
Ohio, Missouris, Mississippi River valley
Histoplasmosis
[Systemic Mycosis]
US, Mexico, Central and south america
Coccidiodomycosis
[Systemic Mycosis]
Southeastern US
Blastomycosis
[Systemic Mycosis]
central and south america
Paracoccidiodomycosis
[Systemic Mycosis]
oval eyasts, from avian, and bat, guano habitats
Histoplasmosis
[Systemic Mycosis]
spherules, from soil and rodents
Coccidiodomycosis
[Systemic Mycosis]
infective form of coccidoides immitis
arthrospore inhalation
[Diagnose]
San Joaquin Valley Fever/Desert rheumatism
C. immitis
Tx: Ampho B, Itraconazole
If with meningitis: Fluconazole
What are the types of Histoplasma capsulatum asexual pores?
- Trabeculae macroconidia
2. microconidia
[Systemic Mycosis]
Patient from ohio,
Inhalation of airborne microconidia from bat guano
Histoplasma capsulatum
Develops inside macrophages
[Systemic Mycosis]
Broad-based bud, from eastern north america, inhalation of conidia
Blastomyces dermatidtidis
___ verrucous lesion of this fungi can stimulate SCC
Blastomyces
Tx: Itraconazoe
If severe: Ampho B
[Systemic Mycosis]
Dimorphic, multiple bids in wheel configuration
in Central and south America
Paracoccidiodes brasilenses
[Diagnose]
fungal infection, painful ulcers on mouth and nose, can cause mad hatter fungus
Paracoccidiodes
[Opportunistic Mycosis]
curd like discharge, skin lesions
esophagitis, SQ nodules, right sided endocarditis
C. albicans
CALAS test used to diagnose this
C. neoformans
_____ oval yeast with narrow-based bud surrounded by wide polysaccharide capsule
C. neoformans
[Opportunistic Mycosis]
abundant in soil containing pigeo droppings
C. neoformans
What is the most common cause of meningoencephalitis in HIV patients?
C neoformans
Tx: Ampho B and Flucytosine
Chemoprophylaxis - fluconazole
[Opportunistic Mycosis]
exist only as molds, form V shaped
A. fumigatus
DOC: Ampho B
If Allergic brongpulmonary aspergillosis: Corticosteroid
___ are saprophytic,non septate without walls and branches at right angles
Mucormycosis
___ stain used to diagnose PCP from BAL washings
- Toluene blue
2. Methamine silver stain
Mycobacterium avium occurs when the CDR is less than
200