Mycotic Quick Questions

Question 1

What is the treatment for disseminated candidiasis?

Answer 1

IV lipid based amphotericin B or IV voriconazole

Question 2

What would you see on a culture for candidiasis?

Answer 2

Germ tube formation

Question 3

Where is paracoccidiodiomycosiis?

Answer 3

South American blastomycosis

Question 4

What is the treatment for vaginal candidiasis?

Answer 4

Single dose oral fluconazole

Question 5

What are the signs of pulmonary coccidioidomycosis?

Answer 5

Pleuritic pain, night sweats, joint pain, hilar/mediastinal adenopathy, erythema multiforme/nodosum

Question 6

What is the MC manifestation of cryptococcus?

Answer 6

Meningitis: AMS, confusion, lethargy, but fever and stiff neck are less common

Question 7

Candida krusei

Answer 7

Resistance to fluconazole

Question 8

Where is penicilliosis found?

Answer 8

Se Asia/south china

Question 9

What animals give you histoplasmosis and what is an additional risk factor?

Answer 9

Starlings, bats, chickens, smokers

Question 10

What is histoplasmosis acute pulmonary signs and symptoms?

Answer 10

Flu-like, w/ hilar or mediastinal lymphadenopathy

Question 11

What is zygomycosis associated w/?

Answer 11

Acidotic diabetes, malnourished kids, burns, cancer

Question 12

Candida tropical is

Answer 12

Malignancy

Question 13

Who get’s cocciodes the worst?

Answer 13

Filipinos and pregnancy

Question 14

What are the two phases of coccidioiidomycosis?

Answer 14

Saprophytic phase (outside the body), parasitic phase (inside the body)

Question 15

What do you need to use for staining histoplasmosis?

Answer 15

Giemsa/ Wright instead of KOH on smear

Question 16

What does blastomycosis look like cutaneous?

Answer 16

Verrucous, modular, ulcerative, face>extremities>neck>scalp

Question 17

What animal causes cryptococcus?

Answer 17

Pigeons

Question 18

Candida lusitaniae

Answer 18

Amphotericin B resistance

Question 19

Candida parapsilosis

Answer 19

TPN

Question 20

What is the treatment for intertrigo?

Answer 20

Nystatin

Question 21

What other places can indicate a cryptococcus infection?

Answer 21

Prostate/ medullary cavity of bones and cutaneous: pauses, nodules and ulcers

Question 22

What does coccidioidomycosis look like on direct or culture?

Answer 22

Spherules, arthroconidia

Question 23

Candida glabrata

Answer 23

UTI/ fluconazole resistance

Question 24

What does disseminated histoplasmosis look like?

Answer 24

AIDS patients W/ oral and cutaneous lesions and many different manifestations, like anemia, leukopenia, oral ulcers, hydronephrosis, prostatitis

Question 25

When is or isn’t treatment indicated for histoplasmosis?

Answer 25

Acute pulmonary: only if hypoxia or >1 month

Acute pericarditis, rheumatologist, chronic pulmonary: not indicated

Disseminated non-aids, disseminated aids, fibrosing meningitis: treatment and for fibrosing remember >=1:32