mycotic disease Flashcards
where is blastomycosis located?
midwest, think about white mold w/ raking, pine needle
how do you determine blastomycosis?
it’s very non specific so you need to biopsy, or see where they have been
what temp does mold grow at?
77
what temp does yeast grow at?
98.6
what is the treatment for blastomycosis?
life threatening: amphotericin B
itraconazole, fluconazole 6-12 monts
where is coccidioidomycosis located?
san joaquin valley fever (AZ, CA, NM, West Texas), southwestern us, worse in filipinos and pregnancy
where does coccidioidomycosis live?
in the dust and the dirt
what presents w/ erythema multiforme or nodosum?
coccidioidomycosis
who is coccidioidomycosis more common in?
immunocompromised, high risk (filipino, pregnant, african american, immunocompromised)
what culuture is a biohazard?
coccidioidomycosis
what is the saprophytic phase of coccidioidomycosis?
when it is outside of the body
what is the treatment for meningeal coccidioidomycosis?
life long fluconazole, intraventricular amphotericin B
histoplasmosis is from what?
starlings, BATS, chickens, other birds
who is at the biggest risk for histoplasmosis?
male smokers
what is associated w/ pigeon droppings?
cryptococcosis
how is cryptococcosis more common in ?
men when CD4<200
what do you need to do prior to a spinal tap to avoid uncaal herniation?
CT
who gets aspergillosis?
immunocompromised
what are the signs of superficial candidiasis?
thrush, esophagitis, vaginitis, intertrigo, onychomycosis
what should you always consider for thrush?
AIDS
what does vaginal candidiasis usually follow?
antibacterial agent
if a girl comes in w/ a yeast infection coming in, what should you tell them?
wear cotton underwear
what is the treatment for vaginal candidiasis?
single dose fluconazole
what is intertriginous?
candidiasis in the