OPPORTUNISTIC INFECTIONS Flashcards
Candida albicans diseases (4)
● Oral moniliasis
● Vaginal moniliasis
● Onychomycosis
● Paronychomycosis
thrush
Oral moniliasis
vulvovaginitis
Vaginal moniliasis
nail infection
Onychomycosis
cuticle infection
Paronychomycosis
Lab diagnosis for Candida (2)
- Germ tube
- CHROM agar
uses enzymatic reactions to differentiate Candida spp.
CHROM agar
hyphae-like extensions of young yeast cells showing parallel sides, are aseptate, and will not constrict at point of origin
True germ tube
looks like germ tubes but with septate and constricted at point of origin
Pseudohyphae
all Candida exhibit pseudohyphae except
Candida glabrata
encapsulated yeast cell in bird and bat droppings
Cryptococcus neoformans
demonstrates capsule
India ink
demonstrates starburst pattern
Gram stain
Causes meningitis
Cryptococcus neoformans
Laboratory Diagnosis of C. neoformans
Urease & inositol
Nitrate
Urease & inositol (+);
Nitrate (-)
Laboratory Diagnosis of C. neoformans (culture)
SDA media without cycloheximide;
birdseed/Niger’s seed/Staib’s
causes respiratory infections in immunocompromised patients, esp. AIDS
Pneumocystis jiroveci
Pneumocystis jiroveci specimen
bronchoalveolar lavage
Isolation methods (differential test media) [8]
- Birdseed / Niger’s seed / Staib’s
- Cornmeal Agar w/ Tween 80
- Cottonseed Agar
- Potato Dextrose Agar
- Rice Medium
- Urea Agar
- Nitrate Production Media
- Czapek’s Medium
Birdseed / Niger’s seed / Staib’s (3)
➢ for C. neoformans; detects phenol oxidase
➢ Contains caffeic acid
➢ brown black colonies
Cornmeal Agar w/ Tween 80 (3)
➢ for Candida spp.
➢ Chlamydospore production
➢ stimulates conidia & chlamydospore production
Cottonseed Agar (2)
➢ for B. dermatitidis
➢ induces conversion of mold to yeast
Potato Dextrose Agar (3)
➢ induces pigment production of T. rubrum
➢ Red color colonies
➢ stimulates conidia production
Rice Medium
differentiates Microsporum spp
Urea Agar (3)
➢ differentiates T. rubrum (-) & T. mentagrophytes (+)
➢ detects urease of Cryptococcus neoformans
➢ Red positive color
Nitrate Production Media
for C. neoformans
Czapek’s Medium
species identification of Aspergillus