Subcutaneous Mycoses Flashcards
Mycoses that involve skin & subcutaneous tissue
Subcutaneous mycoses
Portal of entry
Skin puncture/abrasions of thorns of the skin through traumatic inoculation
Only fungus disease that can be diagnosed by the clinical picture alone
Sporotricosis or Rose Gardener’s disease
Etiologic agent of sporotricosis or rose gardener’s disease
Sporothrix schenkii
Affected areas of subcutaneous mycoses
Arms, hands, legs, feet
Microscopic morphologic feature of Sporotricosis
Yeast phase is oval or spherical cigar bodies and Hyphal phase is rosette or daisy / bouquet conidia
Morphologic feature of sporotricosis on methenamine sliver stain
Asteroid bodies
Old mold cultures in sporotricosis
Sleeve formation
Development of papule to warty tumor like a cauliflower
Chromomycosis or blastomycosis / verrucosa dermatitidis
Types of etiologic agent of chromomycosis
Cladosporium, phialophora and acrostheca
Slender conidiophore of various lengths
Cladosporium carionii
Flask/vase or tube shaped conidiophore with distinct collarette
Phialophora verrucosa
Swollen club shaped conidiophore
Fonsecaea pedrosoi
Short conidiophore with tightly packed conidia
Fonsecaea compactum
Hallmark of chromomycosis
Fission or sclerotic bodies / copper pennies
Chronic granulomatous infection which produces tumor-like lesions and sinus tract formation with presence of granules, usually of the foot
Madura foot, mycetoma or maduramycosis
Etiologic agents of maduramycosis
Actinomycotic mycetoma and eumycotic mycetoma
Fungus like bacteria; very fine delicate granules in bacillary to coccoid forms
Actinomycetales
Species of actinomycotic mycetoma
Israelii-molar tooth colony
Nocardia
Streptomycosis
True fingi; large, coarse septatw hyphae and numerous chlamydospores
Eumycotic mycetoma
Species of eumycotic mycetoma
Allesheria-pseudouallesheria boydii
Madurella
Phialophora-most common
Initial lesions are small, small & subcutaneous nodules appearing on the extremities, face or ear
Lobomycosis
Etilogic agent of lobomycosis
Loboa loboi
Morphologic feature of lobomycosis
Large, spherical or oval yeast with multiple budding; multinucleated and thick walled