MYCOLOGY (Systemic Mycoses) Flashcards

1
Q

Southeast Asia

What systemic mycosis?

A

Talaromycosis (Penicilliosis)

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2
Q

Central & South America

What systemic mycosis?

A

Paracoccidioidomycosis

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3
Q

Southwestern US, Mexico

What systemic mycosis?

A

Coccidioidomycosis

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4
Q

Mississippi & Ohio River valleys

What systemic mycosis?

A

Histoplasmosis

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5
Q

Mississippi & Ohio River basins, St. Lawrence River

What systemic mycosis?

A

Blastomycosis

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6
Q

What systemic mycosis?

Yeast-like cells inside macrophages, red diffusible pigment in culture

A

Talaromycosis (Penicilliosis)

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7
Q

What systemic mycosis?

Yeast with “pilot wheel” appearance

A

Paracoccidioidomycosis

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8
Q

What systemic mycosis?

Spherules containing endospores

A

Coccidioidomycosis

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9
Q

What systemic mycosis?

Small intracellular yeast (2-5 µm) in macrophages

A

Histoplasmosis

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10
Q

What systemic mycosis?

Broad-based budding yeast, DNA probe confirmation

A

Blastomycosis

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11
Q

Also known as Gilchrist disease, North American blastomycosis, Chicago disease.

A

Blastomycosis

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12
Q

Affects primarily middle-aged men due to occupational/recreational exposure to soil.

A

Blastomycosis

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13
Q

Often asymptomatic; primary infections may cause flu-like symptoms.

Progressive pulmonary disease presents with:

Cough, weight loss, chest pain, fever.

May progress to ulcerative skin and bone lesions.

A

Blastomycosis

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14
Q

causative agent of Blastomycosis

A

Blastomyces dermatitidis

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15
Q

Blood agar, 37 degree celsius

A

Blastomyces dermatitidis

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16
Q

Pines medium,
Glucose-cysteine blood,
BHI-blood,
37 degree celsius

A

Histoplasma capsulatum

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17
Q

BHI-blood, 37 degree celsius

A

Paracoccidioides brasiliensis

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18
Q

MOT: Inhalation of arthroconidia

what causative agent?

A

Coccidioides immitis

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19
Q

MOT: Inhalation of microconidia (bird/bat guano)

what causative agent?

A

Histoplasma capsulatum

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20
Q

Mariner’s wheel yeast cells

A

Paracoccidioides brasiliensis

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21
Q

Valley fever

A

Coccidioides immitis

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22
Q

erythema nodosum

A

Coccidioides immitis

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23
Q

Pulmonary calcifications, chronic lung disease

A

Histoplasma capsulatum

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24
Q

Ulcerative mucosal lesions, lymphadenopathy, adrenal involvement

A

Paracoccidioides brasiliensis

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25
Q

Disseminated disease in AIDS patients, cutaneous lesions

A

Penicillium marneffei

26
Q

Most virulent of all human mycotic agents.

A

Coccidioides immitis

27
Q

Erythema nodosum (desert bumps),
erythema multiforme (valley fever),
arthritis (desert rheumatism)

Allergic manifestations of what fungi

A

Coccidioides immitis

28
Q

Disseminated disease (1% of cases): Higher risk in Filipinos, Black individuals, and pregnant women. Commonly affects the meninges.

A

Coccidioides immitis

29
Q

Endemic areas: Lower Sonoran life zone (arid regions).

A

Coccidioides immitis

30
Q

Initial colonies: White to gray, moist, glabrous → Develop aerial mycelium → Mature colonies tan, brown, or lavender.

A

Coccidioides immitis

31
Q

Common in immunocompetent individuals, residual calcifications in lungs, liver, spleen.

A

Histoplasma capsulatum

32
Q

Histoplasma capsulatum

Chronic pulmonary histoplasmosis: Common in ___ patients.

33
Q

Endemic areas: Ohio, Missouri, Mississippi River valleys.

A

Histoplasma capsulatum

34
Q

Reservoir: Soil with high nitrogen content (bat/bird guano).

A

Histoplasma capsulatum

35
Q

Resembles Candida glabrata (differentiated via FA techniques or culture).

A

Histoplasma capsulatum

36
Q

Histoplasma capsulatum

Resembles Candida glabrata (differentiated via ___ techniques or culture).

37
Q

Serology:

EIA: Antigen detection from blood, CSF, urine.

Antibody tests: Complement fixation, immunodiffusion, latex agglutination.

Most useful: Rising titers in complement fixation & immunodiffusion.

A

Histoplasma capsulatum

38
Q

22°C: White to brownish mold.

A

Histoplasma capsulatum

39
Q

H. capsulatum var. duboisii (Central Africa) → ___

H. capsulatum var. farciminosum → ___

A

H. capsulatum var. duboisii (Central Africa) → Skin & bone disease.

H. capsulatum var. farciminosum → Epizootic lymphangitis in horses/mules.

40
Q

Ulcerative granulomatous lesions (buccal, nasal, GI mucosa).

A

Paracoccidioides brasiliensis

41
Q

Other manifestations: Mediastinitis, pericarditis, mucocutaneous lesions.

A

Histoplasma capsulatum

42
Q

South American blastomycosis

A

Paracoccidioidomycosis

43
Q

Brazilian blastomycosis

A

Paracoccidioidomycosis

44
Q

Lutz-Splendore-Almeida disease

A

Paracoccidioidomycosis

45
Q

Gilchrist disease

A

Blastomycosis

46
Q

Chicago disease

A

Blastomycosis

47
Q

Endemic in: Central & South America (humid, high-rainfall, acidic soil conditions).

A

Paracoccidioides brasiliensis

48
Q

Mickey Mouse cap appearance (fewer buds).

A

Paracoccidioides brasiliensis

49
Q

22°C: Mold phase → Glabrous to leathery, wrinkled, pink to brown colonies.

A

Paracoccidioides brasiliensis

50
Q

Only dimorphic Penicillium spp.

A

Penicillium marneffei

51
Q

Paracoccidioides brasiliensis

37°C (____ agar): Rapid conversion to yeast phase.

52
Q

Opportunistic pathogen: Common in immunocompromised patients (AIDS, hematologic malignancies) in Southeast Asia.

A

Penicillium marneffei

53
Q

Resembles Histoplasma capsulatum.

A

Penicillium marneffei

54
Q

Mold phase → Green aerial hyphae, reddish-brown vegetative hyphae.

A

Penicillium marneffei

55
Q

desert bumps also called ___

A

Erythema nodosum

56
Q

valley fever is also called ___

A

erythema multiforme

57
Q

Produces red diffusible pigment.

A

Penicillium marneffei

58
Q

Antigen detection for Histoplasma capsulatum uses what specimen

A

blood, CSF, urine

59
Q

Natural reservoir: Soil; also infects dogs and horses.

A

Blastomyces dermatitidis (Blastomycosis)

60
Q

North American blastomycosis

A

Blastomycosis