superficial and deep mycoses Flashcards

1
Q

mahor fungi that cause only stat corneum hair nail infection

A

dermatophytes

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2
Q

3 genera of dermatophytes

A

Microsporum
trichophyton
epidermophyton

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3
Q

what blood type in dermstophyte infection are prone to chronic disease

A

Blood type a

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4
Q

hairy areas usual mode of tx?

A

Oral therapy

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5
Q

inhibitioj if cytochrome P450 14Alpha demethylase . drug

A

Imidazoles

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6
Q

anpolyebe works by irreversible binding to ergosterol used for candida infections. not for dermatophytes

A

nystatin

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7
Q

allylamines- naftifi ne; terbinafine; butenafinez MOA

A

inhibition of squalene epoxydation.

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8
Q

affect CYP450

A

triazole: itraconazole; fluconazole.

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9
Q

drug where fatty food inc absorption.

A

Itraconazole and griseofulvin.

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10
Q

lowered absorption due to antacids; h2 antagonists; ppi.

A

itraconzaole
ketoconazole.

IKA

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11
Q

terbinafine is less active again:st what dpecie

A

Candida and microsporum.

TCM

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12
Q

ketoconazole side effect

A

Wide spec of action on dermatophytes yeast and systemic mycoses.
but has potential for hepatotoxicity.

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13
Q

fluconazole mainly for

A

candida.

also in dermatophytes.

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14
Q

T capitis tx and age group

A

Griseofulvin in children over 2.

Terbinafine over 4.

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15
Q

itraconazole SE

A

heart failure

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16
Q

Voriconazole has activity on?

Side effects

A

Yeasts. and other fungal pathogens.

SE: Pppasm

Photosensitivity
premature photoaging 
porphyria 
actinic keratoses 
scc
melanoma
17
Q

posaconazole has significant invitro activity against

A

Candida spp

18
Q

Echinocandins moa

A

Inhibit B 1,3 glucan synthesis. thus damaging fungal walls.

effective on candida, fungistatic againts aspergillus sp.

19
Q

1st drug in echinocandin class marketed in us for refractory invasive aspergillosis

A

Caspofungin