Mycoses Flashcards

1
Q

Sporangiospore

A

fungal spore formed by asexual reproduction. formed within a sporangium on an aerial hyphae called a sporangiophore

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2
Q

Conidia

A

fungal spore formed by asexual reproduction. formed on conidiophore

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3
Q

Zygospore

A

fungal spore from sexual reproduction. Develops in thick-walled zygosporangium, formed from the fusion of side projections of two compatible hyphae

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4
Q

Geophilic dermatophyte

A

dermatophyte that inhabits soil in association with decomposing keratinous material

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5
Q

Zoophilic dermatophyte

A

obligate pathogen in animals

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6
Q

Anthropophilic dermatophyte

A

obligate pathogen of humans

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7
Q

Dermatophyte important causal agents

A

Microsporum, Trichosporum, Epidermophyton

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8
Q

Microsporum general characteristics

A

invades hair and skin
thick-walled, multi-septated macroconidia
microconidia are stalked, clavate or arranged singly along hyphae
M. canis most common in domestic animals

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9
Q

Trichophyton general characteristics

A

Invades hair, skin, nails, horns, claws

Thin walled and smooth macroconidia, cylindrical to cigar shaped. Typically more severe than Microsporum infections

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10
Q

Dermatophytosis clinical signs

A

alopecia, erythema, scaling, crusting, annular-ringed lesions, vesicles or papules

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11
Q

Dermatophytosis transmission

A
  1. Arthrospores shed by infected animals are viable in the environment (months to years)
  2. direct contact with infected animal
  3. exposure to arthrospores in the environment/fomites
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12
Q

Dermatophytosis pathogenesis

A

Dermatophytes –> enter stratum corneum –> release proteases –> cause inflammation –> movement away from site of infection to nearby follicle –> central healing causes ringed lesion

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13
Q

Canine ringworm genuses

A

M. canis, M. gypseum, T. erinaceid, T. mentagrophytes

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14
Q

Canine ringworm lesions

A

brittle hair, dry and scaly skin, crusts and scabs

Kerion –> specific lesion due to T. mentagrophytes (intense inflammation, swelling, ulceration, prurulent exudate)

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15
Q

Canine predispositions to ringworm

A

Compulsive diggers (gypseum), good rat catchers (mentagrophytes), avid hedgehod worries (erinaceid)

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16
Q

Feline ringworm

A

M. canis –> main genus, cats are reservoir
Often asymptomatic (public health risk)
Lesions: circular areas of stubbed hair, alopecia, mild scaling and folliculitis at the head
Most common in kittens with immature immune systems and adults with immune deficiencies.

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17
Q

Feline otitis

A

persistent waxy, ceruminous, otic discharge caused by M. canis

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18
Q

Bovine ringworm

A

Trichophyton verrucosum.
Calves are more susceptible and incidence is higher in winter.
Lesions: circular, scattered, accompanied by skin scaling and alopecia, large plaques may develop with the formation of thick scabs and crusts, severe inflammation, pruritus (secondary bacT infections?)
Spontaneous resolution

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19
Q

Porcine ringworm

A

Microsporum nanum
Common disease, affects large breeds. Higher incidence with high density and humidity, poor sanitation
Lesions: circular, roughened, mildly inflamed. anywhere on body

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20
Q

Equine ringworm

A

T. equinum, M. gypseum
Lesions: multiple, dry, scaly, raised lesions on any body part. Inflammation and exudates cause hair to mat together and enlarged lesions create a moth-eaten appearance
Infections often become chronic and subclinical and recur under stress

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21
Q

Avian ringworm/favus/white comb

A

M. gallinae
Lesions: white patches on the comb of infected male birds
Occasionally, disease spreads into the feathers

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22
Q

Wood’s lamp

A

dermatophytosis diagnostic technique - 50-60% of M. canis infections test positive under UV light. Use fluorescing hairs for sampling

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23
Q

Direct microscopic exam for dermatophytosis

A

examine hairs from lesions/scales. Use 10-20% KOH. Fine hyaline septate hyphae in keratin scales and in hair shafts. Arthroconidia see on hair.

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24
Q

Dermatophyte Test Medium (DTM)

A

Growth with red slant before 10 days - dermatophyte
Growth with yellow slant that turns red after 10 days - non dermatophyte.
Medium provides peptones for protein, antibiotics, dextrose sugar, cyclohexamide to inhibit sapprophytes
Incubate at 25-30 degrees

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25
Q

M. canis on culture

A

spreading whitish and cottony surface. Golden-yellow reverse pigment.

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26
Q

Physiological tests for dermatophytes

A

temperature tolerance, urease production, in vitro hair perforation test for Trichophyton

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27
Q

Treatment for dermatophytes

A

remove/kill fungus from skin/hair (clip, shampoos, dips, sprays, topical antifungals). Systemic therapy: azoles
Treat until 3 negative cultures

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28
Q

control/prevention for dermatophytes

A

clean up environment and fomite sources (vacuum, wash bedding, etc.) use 10% bleach solution. Vaccination is effective for bovine ringworm.

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29
Q

Zoonotic dermatophytes

A

M. canis and T. verrucosum

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30
Q

Dermatomycoses important causal agents

A

Malassezia, trichosporon, geotrichum candidum

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31
Q

Malassezia

A

M. pachydermatis

lipophilic yeast, opportunistic pathogen (part of normal microbiome on the skin)

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32
Q

Otitis externa (malassezia)

A

clinical signs: head shaking, pruritus, bad odour, chronic otitis
Diagnosis: otoscopic exam of ear canal, cytology for bacteria, yeast and mites
Treatment: treat predisposing factors, topical antifungals and systemic antimicrobials

33
Q

Seborrheic dermatitis (definition + CS)

A

superficial dermatitis as a regional disease affecting ventral abdomen, face, feet, neck. perineum, leg folds or generalized disorder
Clinical signs: face rubbing, foot licking, erythematous skin, scaly skin, alopecia, hyperpigmentation, lichenification

34
Q

Seborrheic dermatitis predispositions

A

breed: poodles, spaniels, chihuahuas, german shepherds, boxers, basset hounds
others: allergies, seborrhea

35
Q

Seborrheic dermatitis diagnosis, treatment

A

history of poor response to therapies, demonstration of yeast on skin scrapes (rule-out system). Most useful is cytology of affected areas looking for slightly elongated, oval, broad-based yeast
Treatment: remove predisposing factors, shampoo/creams/dips with selenium sulfide/ketoconazole, oral ketoconazole

36
Q

Trichosporon

A

causes nasal mass in cats. Treatment is to remove the mass surgically and follow up with oral ketoconazole

37
Q

Geotrichum candidum

A

more found in exotic animals. Often isolated from feces of healthy/clinically normal animals. Causes cutaneous lesions, nodular, well-circumscribed dermo-epidermal masses

38
Q

subcutaneous mycoses general characteristics

A

infections of deep skin, muscle, bone or CT. Associated with injured tissues.
Etiologic agents: soil/decaying vegetation, dematiaceous or hyaline molds and dimoprhic fungi
infections are chronic

39
Q

Important causative agents of subcutaneous mycoses

A

Sporothrix schenckii, histoplasma capsulatum var. farciminosum, dermatiaceous fungi

40
Q

Sporotrichosis characteristics

A

dimorphic, dermatiaceous.
yeast at 37 degrees - cigar shaped, pleiomorphic budding yeast.
mold at 25 degrees - thin septate hyphae with conidia in a rosette-cluster
found in soil, vegetation, peat moss and wood
Conidia enter the skin through puncture wounds from thorns or bites

41
Q

Sporotrichosis geography

A

most common in in tropical and subtropical america

42
Q

Sporotrichosis lesions

A

subcutaneous nodules that ulcerate and heal. lesions are not painful or pruritic. Disease may follow lymphatic vessels

43
Q

Sporotrichosis CS in dogs

A

Cutaneous: localized, multicentric
Lymphocutaneous: nodules along lymphatics
Disseminated: rare, possibly fatal

44
Q

Sporotrichosis pathogenesis

A

conidia or mycelia enter through broken skin –> change from mycelial form to yeast or parasitic form –> virulence factors (thermotolerance, acid phosphatases, proteinases) –> lymphocutaneous manifestation –> infection spreads along lymphatics

45
Q

Diagnosing sporotrichosis with LM

A

Under LM: look for yeast (in macrophages). Cat lesions tend to have more yeast

46
Q

Diagnosing sporotrichosis with culture

A

mold colonies are cream coloured, wrinkled and leathery. Will turn black/grey with age.
Yeast colonies are soft and white to cream coloured

47
Q

Sporotrichosis treatment

A

Iodide (not for cats), azoles, Itraconazole for cats

48
Q

Sporotricosis zoonosis

A

most human cases occur through shedding from cats (scratch, bite).
Prophylaxis: care in handling rote wood, plant material and infected animals

49
Q

Epizootic lymphangitis

A

Histoplasma capsulatum var. farciminosum
Dimorphic fungus.
Yeast: pear shaped, double contoured budding yeast in macrophages/neutrophils
Can be isolated from soil enriched with bird or bat feces
Infection acquired by wound infection or transmission by blood sucking insects

50
Q

Epizootic lymphangitis host

A

equids

51
Q

Epizootic lymphangitis lesions

A

granulomatous, nodular lesions with a tendency to ulcerate in skin, subcutaneous tissue, along lymph vessels

52
Q

Chromoblastomycosis

A

chronic fungal infection in cats and humans. Dermatiaceous fungi form thick walled-muriform cells (sclerotic bodies).
CS: firm, protuberant, warty, ulcerative nodules (on feet and legs)

53
Q

Eumycotic mycetoma

A

Limited to one area of the body.
CS: swelling, fistulas, grains or granules in exudate. SubQ swellings with draining tracts, may resemble chronic abscess.
Chronic mycetoma – fistulous tumour
may cause osteomyelitis

54
Q

Phaeohyphomycosis

A

saprophytic, pigmented fungi that appear in lesions as dematiacous, septate hyphal forms (no granules).
Found in dogs and cats
CS: pustules, abscesses, granulomas, shallow ulcerated or open lesions

55
Q

Bovine nasal granuloma

A

Granulomatous swellings in the nasal cavity and trachea of cattle.
CS: dyspnea, inspiratory stridor, nasal discharge. Pink-white polyps visible on endoscopy

56
Q

Bovine nasal granuloma diagnosis

A

direct exam of crushed polyp – dematiaceous fungi

culture – white colonies that become olive green, brown or black with dark reverse pigment

57
Q

systemic mycoses primary SOI

A

lungs

58
Q

systemic mycoses important causative agents

A

Blastomyces dermatitidis (dimorphic), coccidioides immitis (dimorphic), histoplasma capsulatum var. capsulatum (dimorphic), cryptococcus neoformans (yeast)

59
Q

Blastomycosis

A

Blastomyces dermatitidis.
Affects cats, dogs, humans
Moves from lungs to skin, eyes and bones

60
Q

Blastomycosis lesions

A

few to numerous, variable sized, irregular, firm, grey to yellow areas of pulmonary consolidation and nodules in lungs and thoracic lymph nodes
Cutaneous lwesions – single or multiple papules or chronic draining, nodular pyogranulomas

61
Q

Blastomycosis pathogenesis

A

Aerosolized mycelial fragments or spores from the environment are inhaled. These are deposited in alveoli of a susceptible host. The mature yeast develop and grow intracellularly as large budding yeast. May spread from the lungs via lymph/blood vessels

62
Q

Blastomycosis distribution

A

Highly endemic in North America –> Ohio, missouri, tennessee, mississippi river valleys, st. lawrence river area, great lakes

63
Q

Blastomycosis clinical signs

A

coughing, dyspnea, dry and harsh lung sounds, anorexia, depression, lameness, lymphadenopathy, skin lesions (predominant in cats), ocular lesions

64
Q

Blastomycosis diagnosis

A

clinical signs, history.
Samples: tissues, tracheal wash, lymph node biopsy, cutaneous lesion exudate or biopsy
Microscopy: spherical, thick walled, large, broad-based budding yeast
Culture: mold culture is severe biohazard

65
Q

Blastomycosis treatment

A

Itraconazole for dogs, amphotericin B for chronic/tough cases

66
Q

Blastomycosis zoonosis

A

zoonotic transmission is uncommon but can happen from contaminated knives or dog bites. PPE important!

67
Q

Coccidiomycosis (San Joaquin Valley Fever)

A

Coccidioides immitis.
Dust-borne, not contagious
Humans, dogs, llamas affected
Primarily a chronic respiratory disease can spread to eyes, bones and joints
Not zoonotic, but can mycelial phase can form on bandages of draining lesions

68
Q

Coccidiomycosis pathogenesis

A

Arthroconidia in the environment mature into mycelia which fragment into arthrospores. Infection is via inhalation of arthrospore which causes transition into a spherule. spherule matures with production and release of endospores. Endospores will travel in lymph/blood

69
Q

Coccidiomycosis distribution

A

Infections are in semi-arid regions of the SW USA (arizona, california, new mexico, texas, utah, nevada) and sikmilar areas of central and south america

70
Q

Coccidiomycosis clinical signs

A

anorexia, cough, weight loss, lameness, abscesses, draining tracts, lymphadenopathy, meningitis

71
Q

Coccidiomycosis diagnosis

A

CS and history
Samples - draining lesions and biopsies or fine-needle aspirate of infected tissue (ook for classic spherules
Culture - mycelial form very hard to handle. Mold have hyaline hyphae and alternating, barrel-shaped arthroconidia

72
Q

Coccidiomycosis treatment

A

long term treatment (8-12 weeks) with azoles, amphotericin B if needed

73
Q

Histoplasmosis

A

Histoplasma capsulatum var. capsulatum
chronic, non-contagious, disseminated, granulomatous disease of humans and animals
mainly in dogs and cats under 4

74
Q

Histoplasmosis lesions

A

enlarged liver, spleen and mesenteric lymph nodes. Ascites, yellow-white variable-sized, granulomatous nodules in the lungs enlarged bronchial LNs, foci of granulomatous inflammation on liver, myocardium and SI

75
Q

Histoplasmosis pathogenesis

A

inhalation or ingestion of microconidia or hyphal fragment from environment, conversion to yeast in vivo, yeast replicate, may spread via lymph/blood to spleen, bone marrow

76
Q

Histoplasmosis distribution

A

humid environments with highly nitrogenous soils (contaminated with bird/bat shit).
High risk areas: bat caves, old chicken houses
Regions: tennessee, ohio, mississippi, missouri, st lawrence river area

77
Q

Histoplasmosis clinical signs

A

pulmonary infection predominant, chronic disease (inappetance, weight loss, fever), enlarged LNs, anemia, GI problems in dogs

78
Q

Histoplasmosis diagnosis

A

clinical signs and history
samples: buffy coat smear, LN aspirate, rectal scraping, biopsies, bone marrow aspirate. Yeast are small in macrophages, basophilic center and clear halo
Cultures are a severe biohazard

79
Q

Histoplasmosis treatment

A

long-term treatment (4-6 months min) with azoles. Amphotericin in combination with oral azole for severe cases.