Mycotic Quick Questions Flashcards
What is the treatment for disseminated candidiasis?
IV lipid based amphotericin B or IV voriconazole
What would you see on a culture for candidiasis?
Germ tube formation
Where is paracoccidiodiomycosiis?
South American blastomycosis
What is the treatment for vaginal candidiasis?
Single dose oral fluconazole
What are the signs of pulmonary coccidioidomycosis?
Pleuritic pain, night sweats, joint pain, hilar/mediastinal adenopathy, erythema multiforme/nodosum
What is the MC manifestation of cryptococcus?
Meningitis: AMS, confusion, lethargy, but fever and stiff neck are less common
Candida krusei
Resistance to fluconazole
Where is penicilliosis found?
Se Asia/south china
What animals give you histoplasmosis and what is an additional risk factor?
Starlings, bats, chickens, smokers
What is histoplasmosis acute pulmonary signs and symptoms?
Flu-like, w/ hilar or mediastinal lymphadenopathy
What is zygomycosis associated w/?
Acidotic diabetes, malnourished kids, burns, cancer
Candida tropical is
Malignancy
Who get’s cocciodes the worst?
Filipinos and pregnancy
What are the two phases of coccidioiidomycosis?
Saprophytic phase (outside the body), parasitic phase (inside the body)
What do you need to use for staining histoplasmosis?
Giemsa/ Wright instead of KOH on smear
What does blastomycosis look like cutaneous?
Verrucous, modular, ulcerative, face>extremities>neck>scalp
What animal causes cryptococcus?
Pigeons
Candida lusitaniae
Amphotericin B resistance
Candida parapsilosis
TPN
What is the treatment for intertrigo?
Nystatin
What other places can indicate a cryptococcus infection?
Prostate/ medullary cavity of bones and cutaneous: pauses, nodules and ulcers
What does coccidioidomycosis look like on direct or culture?
Spherules, arthroconidia
Candida glabrata
UTI/ fluconazole resistance
What does disseminated histoplasmosis look like?
AIDS patients W/ oral and cutaneous lesions and many different manifestations, like anemia, leukopenia, oral ulcers, hydronephrosis, prostatitis
When is or isn’t treatment indicated for histoplasmosis?
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
