Superficial fungi Flashcards
Four superficial fungi
i. Hortaea werneckii
ii. Malassezia furfur
iii. Piedraia hortae
iv. Trichosporon ovoides
Halophilic species that live in seawater, mollusks, and other saline habitats
Hortaea werneckii
Hortaea werneckii is causative agent of
tinea nigra
other terms for tinea nigra
tinea nigra palmaris
keratomycosis nigricans
Hortaea werneckii are member of what species
black yeasts-like species containing a wide hyphae that
become profusely septate during growth
have annellidic conidiogenesis from broad scars.
Hortaea werneckii
describe lesions of tinea nigra
flat, smooth, not scaly, and appear as irregularly shaped brown
to black spots resembling silver nitrate stains
The palmar and plantar lesions (stratum corneum) of tinea nigra may also resemble
melanoma
laboratory diagnosis of Hortaea werneckii
Skin scrapings from dark pigmented lesions.
growth rate of Hortaea werneckii
Slow grower (matures within 21 days)
colony morphology of Hortaea werneckii in SDA
1st:
light colored
moist to mucoid
shiny
yeast-like
2nd- 3rd week
become olive-black, grayish green hyphae in periphery, may lose shine due to to thin layer of mycelium
reverse colony morphology of Hortaea werneckii in SDA
black
Wood’s lamp: Hortaea werneckii
no fluorescence
round at one end while tapered and elongated with striations at the end where conidia are formed
anellides
Hortaea werneckii mature forms are:
two-celled
Hortaea werneckii develop this as they age
dark, closely septated, thick-walled hyphae
Chlamydoconidia
contains 15 lipid-dependent species that are widely distributed in humans and other animals
Genus Malassezia
synonyms of Malassezia furfur
Pityrosporum furfur
Pityrosporum ovale pro parte
Differentiation of Malassezia spp. require
molecular sequencing
most clinical laboratories prefer to report results of Malassezia spp. as
Malassezia furfur species complex
Malassezia species
The most common species of Malassezia
M. furfur
common Malassezia spp which is non-lipid dependent, frequent
colonizer of canine auditory canals and linked to systemic Malassezia infections in neonates.
M. pachydermatis
Two Malasseia spp that are virtually omnipresent on human skin.
M. globosa
M. obtusa
the main causative agents of the skin infection pityriasis versicolor.
M. furfur
M. sympodialis
M. globosa
M. slooffiae
tinea versicolor tissue reaction
lesion that appear as scaly (furfuraceous), discrete, or concrescent,
hypopigmented ,and(or) mild to moderate hyperkeratosis
dermatological disease caused by Malassezia spp in patients with AIDS
seborrheic dermatitis
Malassezia also causes this diseases in in patients receiving prolonged infusion of lipid formulation through contaminated central venous catheters.
fungemia and occ. systemic infection
predisposing factors to Malassezia diseases
poor nutrition
excessive sweating
pregnancy
Laboratory diagnosis of M. furfur species complex
Skin scrapings from discolored area, blood, or tissue
growth rate of Malassezia furfur
Rapid; mature in 5 days
temperature preference of M. furfur
30-35oC
grow poorly at 25oC
culture media of Malassezia furfur
SDA
cycloheximide
olive or vegetable oil
obverse colony morphology of M. furfur
Smooth, cream to yellowish brown, often becomes dry, dull, brittle,
and wrinkled with age.
M. furfur scrapings may also be inoculated on
Leeming
Notman medium
Wood’s lamp: M. furfur
Fluoresces yellow-green with black
black spots in colonial morphology occur due to Malassezia’s production
of this tryptophan derivative.
pityrialactone
M. furfur species complex filaments with budding yeast cells resemble:
“spaghetti & meatball” appearance
budding of M. furfur is
phialidic & unipolar
Found mostly in tropical regions in Africa, Asia, and Central and South America and infects humans as well as other primates
Piedraia hortae
Piedraia hortae is the etiologic agent of
black piedra
black piedra infects these sites
scalp hair
beard or mosutache
axillary or pubic hairs
black piedra is characterized by
discrete, hard, gritty, dark brown to black nodules
adhering firmly to the hair shaft.
affected by black piedra nodules and become weak and often break at
the point of infection
hair shaft
specimen for laboratory diagnosis of Piedraia hortae
Hair fragments containing one or more black nodules, collected by clipping or by plucking
growth rate of Piedraia hortae
Slow growth; mature in 21 days
Piedraia hortae is inoculated in
SDA with chloramphenicol and cycloheximide
added to Piedraia hortae medium to increase mycelial production
thiamine
Piedraia hortae colonial morphology
small, adherent, compact, somewhat raised, and dark greenish brown
to black
may be glabrous or covered with very short aerial hyphae.
colonial morphology of the reverse of Piedraia hortae
black
Piedraia hortae hyphae
Hyphae are closely septate, dark, and thick walled and vary in diameter; with many intercalary chlamydoconidia- like cells. Asci may be produced in culture.
Piedraia hortae asci
The walls of the asci readily dissolve, releasing single- celled, curved ascospores (5-10 x 30-35μm) that taper at the ends to form whip-like extensions.
Causes scalp hair white piedra
Trichosporon ovoides
T. asahii
cause of summer-type hypersensitivity in Japan.
CALAS assay
Cryptococcal Antigen Latex Agglutination System
share antigenicity with the capsular polysaccharide of C. neoformans
T. asahii
Trichosporon species present in hair
T. ovoides
Systemic- only Trichosporon species
T. asahii
T. mucoides
Trichosporon species present in systemic, pubic hair and skin
T. inkin
Trichosporon species present only in axilla and rarely in skin
T. cutaneum
Trichosporon species present rarely in systemic and skin
T. asteroides
specimen for laboratory diagnosis of Trichosporon species
Hair fragments containing the adherent nodules
growth rate of Trichosporon species
Moderately rapid; mature in 5-7 days
culture media of Trichosporon species
SDA + chloramphenicol
colonial morphology of Trichosporon species
Yeastlike; at first cream colored, moist, and soft.
The surface may become irregularly wrinkled, rather
powdery or crumblike; the center may become heaped,
and the colony may adhere to, and crack, the agar. The
color often darkens to yellowish gray.
The squashed nodule reveals an intertwined hyaline
septate hyphae, hyphae breaking up into oval or
rectangular arthroconidia of 2-4μm
Trichosporon species
differentiates Trichosporon from Geotrichum spp.
presence of pseudohyphae and blastoconidia
urease test of trichosporon species
positive
All trichosporon can grow at 37 C except
T. cutaneum
Assimilation of T. asahii
arabinose
Assimilation of T. mucoides
inositol, arabinose, sorbitol
Assimilation of T. cutaneum
Inositol Arabinose Sorbitol
Assimilation of T. inkin
inositol
assimilation of T. ovoides
none (variable arabinose)