Pneumonia Fungal

Question 1

Candida image

Answer 1

Candida

immunocompromises

present: fever, tachypnea
image: patchy infiltrate
tx: ampho B, flucanozole

Question 2

Crytopcoccus

Answer 2

Cryptocuccus

pidgeon droppings

H: india ink, latex agglutination test

P: productive cough, fever, wt. loss, meningitis

I:

TX: ampho B and flucocystine, fluconazole

Question 3

Aspergillus

Answer 3

Aspergillus

Immunocompromised, neutropenia

P: wheezing, dyspnea, cough, chest pain, hemoptysis

H: narrow branching hyphae

I: fungus balls in cavities

T: Ampho B, itraconazole

Question 4

Blastomyces

Answer 4

Blastomyces

midwestern, southeastern states, immunocompromised

P: fever, chills, productive cough, skin/bone lesions

H: broad-based budding

Tx: ampho B or itraconazole

Question 5

HIstoplasma

Answer 5

Histoplasmosis

young, immunocompromised, river valleys of central states, birds, bats

P: asymptomatic, fever, fatigue, wt. loss, caseating granuloma in tissue

H: in Macrophages, round in tissue

I:

Tx: ampho B and/or itraconazole

Question 6

Coccioides

Answer 6

Coccidiodes

southwestern US, mexico, south america, dust storms

P:fever, cough, headache, chest pain

H: fungal spherules with endospores

Tx: ampho B, surgery