Superficial And Cutaenous Flashcards
This includes the dermis and first layer of epidermis
Superficial
What are the layers of epidermis?
Stratum corneum Stratum lucidum Stratum granulosum Stratum spinosum Stratum basale / germinativum
Group of fungal spp producing cutaenous infections
Dermatophytes
Mode of transmission that is only pathogenic to humans
Anthrophilic
Mode of transmission that is pathogenic on animals
Zoophilic
Mode of transmission with contact of free living soil that are saprobic
Geophilic
Dermatophyte infection of the hair that remains confined to the hair surface
Ectothrix / exothrix
Infection of hair that invade the hair shaft and internalize into the hair cell
Endothrix
Type of mycoses seen in first layer of epidermis particularly in stratum corneum, essentially elicit no inflammation, Easily diagnosed and treated
Superficial
Type of mycoses seen in the superficial and whole epidermis
Cutaenous
Type of mycoses that can spread in the entire body and cause diseases in organs
Systemic
Type of mycoses which cannot produce dses but can affect immunocompromised people
Opportunistic
Disease which can cause discoloration or depigmentation of skin
Lyophilic
Seen in warm / tropic environments
Anthrophilic infxn
Direct or indirect transfer of keratinous material
Tinea versicolor or Pityriasis versicolor
Causative agent of Tinea versicolor
Clusters of spherical, yeast like cells w/ hyphal fragments
Spaghetti and meatball appearance
Fluoreces under woods light
Malassezia furfur
Malassezia furfur culture requirements?
Appearance?
SDA w/ olive oil
Incubate 2-4 days at 30*C
Creamy yeast-like colonies
Treatment on Malassezia furfur?
1% of selenium sulfide applied every other day for 15 mins then wash
Ketoconazole or miconazole medicated shampoos
Tropical infxn involves the palms and soles and result to black and brown salty patches
Most common in children and young adults
You can get by inoculation or trauma into epidermis
Tinea nigra
Causative agent of Tinea nigra
Exophiala werneckii
Exophiala werneckii is formerly called?
Cladosporium werneckii
Microscopic appearance of Exophiala werneckii
Branched septated hyphae w/ 1-2 celled blastoconidia(budding)
Culture req of Exophiala werneckii
SDA ( Saboraud’s dextrose agar) at RT
Culture appearance of Exophiala werneckii
Black yeasty colonies w/ an olive green mycelium
Treatment of Exophiala werneckii
Anti fungal miconazole / econazole
Hard, brown black crusts on the outside of the hair shaft
Seen in tropical america and africa
Black piedra
Causative agent for black piedra
Piedraia hortae
Microscopic appearance of Piedraia hortae
Thick walled hyphae with ascospores
Culture req of Piedraia hortae
SDA at RT
Culture appearance of Piedraia hortae
Green black heaped colonies
Treatment of Piedraia hortae
Oral terbinafine 250 mg daily for 3 weeks
Light brown soft nodules on scalp hair, beard or mustache that are less firmly attached than black piedra
Seen in tropical and subtropical areas
Associated with poor hygienne
White piedra
Causative agent for white piedra
Trichosporon beigelii
Microscopic appearance of Trichosporon beigelii
Hyaline hyphae, blastoconidia and arthrospores
Culture req of Trichosporon beigelii
SDA at RT
Culture appearance of Trichosporon beigelii
Siopao; cream colored wrinkled colonies
Treatment of Trichosporon beigelii
Therapy of high dose Amphotericin B w/ either flucytosine or fluconazole
Ringworm of the beard
Tinea barbae
This includes the superficial up to the whole epidermis
Cutaenous
Ringworm of scalp
Tinea capitis
Ringworm of body
Scaly center surrounded by red advancing border that often contains vesicles
Tinea corporis
Ringworm of groin
Tinea cruris
Ringworm of foot (athlete’s foot)
Characterized by itching, scales and possible seeping
Tinea pedis
Tinea pedis is commonly caused by what organism?
Trichophyton mentagrophytes
Fungal infxn of a nail that is caused by a non-dermatophyte
Onychomycosis
Ringworm of nails becoming thick and brittle
Fungal infxn of a nail that is caused by a dermatophyte
Tinea unguium
Type of tinea capitis
Common in children
Caused by Microsporum canis and Microsporum audouinii
Gray patch ringworm
Type of tinea capitis
An endothrix infxn
Caused by Trichophyton tonsurans
Black dot ringworm
Type of tinea capitis
An Ectothrix infxn
Caused by Trichophyton mentagrophytes
Inflammatory
Means “moth-like” or “ring-worm”
Tinea
Infect hair and skin but rarely nails Spindle shaped Macroconidia Rare microconidia Produce powdery or velvety colonies Produce fluoresces under woods light
Microsporum
Spindle shaped
Multi septate with rough surface macroconidia
Has terminal chlamydospores
Fails to grow on sterile, rice grains
Microsporum audouinii
Produced infection of Microsporum audouinii?
Tinea capitis and Tinea corporis
Culture appearance of Microsporum audouinii?
Cream, tan, light brown velvety colony
Reverse side: Salmon pink or orange brown
Spindle shaped
Curved tip and knobby projections Macroconidia
It is zoophilic
Microsporum canis
Produced infection of microsporum canis?
Tinea capitis and Tinea corporis
Culture appearance of Microsporum canis
Bright yellow periphery
Cigar shaped w/ spiny surfaces and rounded tips
It is Geophilic
Microsporum gypseum
Produced infections of Microsporum gypseum?
Tinea canis, Tinea corporis, Tinea unguium
Culture appearance of Microsporum gypseum?
Cinnamon brown, rose brown, red brown
Hair, skin and nails are affected Tear shaped Microconidia Rare macroconidia (smooth) - Pencil shaped Powdery, velvety or waxy colonies Do not fluoresce under woods light
Trichophyton
Micospores/microconidia arranged in grape-like structures
Hyphae is coiled and spiral
(+) urease
(+) hair baiting test - ectothrix
Trichophyton mentagrophytes
Produced infections of Trichophyton mentagrophytes
Tinea barbae, tinea corporis, tinea pedis, tinea unguium
Culture appearance of Trichophyton mentagrophytes
White or tan to pink
Tear shaped microconidia borne laterally prom long strands of hyphae
Pencil shaped macroconidia
(-) urease
(-) hair baiting test
Trichophyton rubrum
Produced infections of Trichophyton rubrum
Tinea capitis, tinea corporis, tinea unguium
Culture appearance of Trichophyton rubrum
Cherry red or wine red in corn meal agar
Balloon shaped microconidia
Requires thiamine to grow
Endothrix infection
Trichophyton tonsurans
Produced infections of Trichophyton tonsurans
Tinea capitis, corporis, pedis, unguium
Culture appearance of Trichophyton tonsurans
Yellow rose or rust colored colony
Colonies become heaped and sunken
Skin and nails, never hair
Club shape
Monotypic genus with 1-5 cell Macroconidia
Absent microconidia
Epidermophyton
Club shaped macroconidia
Absent microconidia
Epidermophyton floccosum
Produced infections of Epidermophyton floccosum
Tinea corporis and tinea pedis
Culture appearance of Epidermophyton floccosum
Volcano with crater; khaki green
Flat suede like structure w/ folded center
Treatment of scalp infxn
Griseofulvin given 1-2 weeks
Treatment of body infxn
Miconazole cream, salicylic cream/ benzoic acid
Treatment of foot infxn
Acute: soak in potassium lermanganate 1:5000j
Chronic: antifungal agents (creams) at night