SUPERICIAL FUNGI Flashcards
among the most prevalent infectious disease
SUPERFICIAL FUNGI
mode of transmission :
person to person contact (garments, blankets, clothing)
hair infection with nodular masses of fungal elements surrounding the shaft
PIEDRA
infections of the skin
TINEA
macular pathches that are non-scaly
TINEA
Yeast
Malassezia furfur
Trichosporon beigelii
Mold
Piedra hortae
Exophiala werneckii
Exophiala werneckii other name
Phaeoannellomyces werneckii
Tinea versicolor/Pityriasis versicolor, Seborrhoeic dermatitis
Malassezia furfur
- causes dandruff
Seborrhoeic dermatitis
Discoloration on the upper chest, back arms and neck
Malassezia furfur
Hypo/hyper pigmentation
Malassezia furfur
Lesions are well-demarcated
Malassezia furfur
brownish , scaly areas on light skin individuals
lightish , on dark skin individuals
Malassezia furfur
Fawn-colored macules
Malassezia furfur
most common presentation; trunk and upper arms
Fawn-colored macules
Wood’s Lamp Positive (light green flourescence)
Malassezia furfur
skin scrapings, indwelling catheter tips, blood
Malassezia furfur
– common in infants
indwelling catheter tips
Sabouraud’s Dextrose Agar or Sheep Blood Agar containing Acti-Dione
Malassezia furfur
Dixon’s Agar containing glycerol mono-oleate
Malassezia furfur
stimulates growth by natural oil or fatty substances
Malassezia furfur
culture media ; need an addition of oil
Malassezia furfur
1-2 weeks: bacteria-like
Malassezia furfur
Pasty white
Malassezia furfur
the collarettes of the phialides appear as distinct dark rings separation the mother and daughter cells
Malassezia furfur
10% KOH (glycerol w/ Parker ink or Calcofluor white)
Malassezia furfur
PAS/LCPB
Malassezia furfur
Electron Micrograph
Malassezia furfur
Under KOH – cluster of thick walled round budding yeast
Malassezia furfur
Short angular hyphal forms
Malassezia furfur
Topical Agent (imidazole, ketoconazole)
Malassezia furfur
Oral Tx
Malassezia furfur
Tinea nigra
Exophiala werneckii
- chronic superficial fungal on palms
Tinea nigra
Predisposing factor:
excessive sweating
Age:
less than 20 yrs old female
Brown to black macules
Exophiala werneckii
(palmar and plantar and other surfaces of the skin)
Exophiala werneckii
skin scrapings
Exophiala werneckii
SDA – serves as primary isolation media.
Exophiala werneckii
: mucoid like colonies, yeast like , and shiny black appearance
young yeast
: velvety
mature, mold
Dematiaceous: pigment brown to dark
Exophiala werneckii
initially colonies are mucoid, yeastlike and shiny black
Exophiala werneckii
Abundant aerial mycelia and become velvety, dark olivaceous in colour
Exophiala werneckii