(XIV) Fungi Candida, Cryptococcus, Aspergillus, etc Flashcards

1
Q

2 routes of spread of fungi to respiratory tract:
1. […]
2. […]

A

2 routes of spread of fungi to respiratory tract:
1. endobronchial
2. hematogenous

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2
Q

3 important species of dematophytes to know
1. […]
2. […]
3. […]

A

3 important species of dematophytes to know
1. Microsporum
2. Epidermophyton
3. Trichophyton

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3
Q

3 types of superficial mycoses to know:
1. […]
2. […]
3. Other fungi, eg. Malassezia furfur

A

3 types of superficial mycoses to know:
1. Dermatophytes
2. Superficial Candidosis
3. Other fungi, eg. Malassezia furfur

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4
Q

4 examples of aspergillus that can cause diseases are
1. […]
2. […]
3. […]
4. […]

A

4 examples of aspergillus that can cause diseases are
1. aspergillus fumigatus
2. aspergillus flavus
3. aspergillus niger
4. aspergillus terreus

uh….NTFF???

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5
Q

Aspergillus Infection (have different forms)

Lung
- Allergic bronchopulmonary aspergillosis
- hypersensitivity response to Aspergillus ([…]-like symptoms –cough, wheezing, shortness of breath)
- Invasive aspergillosis (nodule, cavity, consolidation, infiltrates)

Other tissues including the central nervous system, sinuses, bone, heart, kidney, eye, blood and skin

A

Aspergillus Infection (have different forms)

Lung
- Allergic bronchopulmonary aspergillosis
- hypersensitivity response to Aspergillus (asthma-like symptoms –cough, wheezing, shortness of breath)
- Invasive aspergillosis (nodule, cavity, consolidation, infiltrates)

Other tissues including the central nervous system, sinuses, bone, heart, kidney, eye, blood and skin

Risk factors for invasive aspergillosis include patients on steroids, chemotherapy treatment resulting in severe neutropenia, stem cell and solid organ transplantation, AIDS

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6
Q

Candida vascular infections

Cardiac (Pericardium, myocardium, endocardium)
- Purulent […]
- […] (non -specific ECG changes -SVT, QRS changes mimicking infarction, pronounced T-wave changes)

Endocarditis
- Predisposing factors : Underlying heart disease, IVDA, cancer chemotherapy, prosthetic valves, prolonged use of intravenous catheters -right -sided endocarditis, superimposed on bacterial endocarditis

Urinary Tract
- Candiduria
- Upper tract involvement –> […]
- Haematogenous or ascending infection
- Fungus balls, perinephric abscess, papillary necrosis

A

Candida vascular infections

** ** (Pericardium, myocardium, endocardium)
- Purulent pericarditis
- Myocarditis (non -specific ECG changes -SVT, QRS changes mimicking infarction, pronounced T-wave changes)

Endocarditis
- Predisposing factors : Underlying heart disease, IVDA, cancer chemotherapy, prosthetic valves, prolonged use of intravenous catheters -right -sided endocarditis, superimposed on bacterial endocarditis

Urinary Tract
- Candiduria
- Upper tract involvement –> kidneys
- Haematogenous or ascending infection
- Fungus balls, perinephric abscess, papillary necrosis

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7
Q

Categories of systemic mycoses
1. […]
2. […]
3. […]
4. Dimorphic fungi (rare in sg)
5. Murcomycosis/Phycomycosis

A

Categories of systemic mycoses
1. Cryptococcosis
2. Aspergillosis
3. Systemic candidosis
4. Dimorphic fungi (rare in sg)
5. Murcomycosis/Phycomycosis

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8
Q

Cryptococcus infection clinical maifestation

  • CNS ([…], […])
  • Lung ([…], […], […])
  • Prostate
  • Skin
  • Bloodstream
A

Cryptococcus infection clinical maifestation

  • CNS (meningitis, cryptococcoma)
  • Lung (pneumonia, pleural effusion, cyptococcoma)
  • Prostate
  • Skin
  • Bloodstream
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9
Q

Diseases caused by fungi can be classified under 3 pathological categories
1. […]
2. […]
3. […]

A

Diseases caused by fungi can be classified under 3 pathological categories
1. Poisoning
2. Allergy
3. Infection

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10
Q

Factors predisposing to systemic fungal infection
- […]
- intravenous drug abuse (IVDA)
- hyperalimentation (artificial nutrients, typically IV)
- polyethylene catheters
- neutropenia
- neutrophil defects

A

Factors predisposing to systemic fungal infection
- antibiotics
- intravenous drug abuse (IVDA)
- hyperalimentation (artificial nutrients, typically IV)
- polyethylene catheters
- neutropenia
- neutrophil defects

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11
Q

Fungi can exist in 2 forms: […] and/or […]

A

Fungi can exist in 2 forms: Yeasts (single cell form) and/or Hyphae (filamentous form)

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12
Q

Infection of ringworms on various parts of skin is known as

A

Infection of ringworms on various parts of skin is known as

Scalp: Tinea capitis
Face: Tinea faciei
Arms/Legs/Trunks: Tinea corporis
Facial Hair: Tinea barbae
Hands/Palms: Tinea manuum
Feet: Tinea pedis
Groin: Tinea cruris
Nails: Tinea unguium

ringworms aren’t worms. It’s just what you generally call a cutaneous fungal infection

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13
Q

Most common cutaneous candidiasis belongs to the species […]

A

Most common cutaneous candidiasis belongs to the species Candida albicans

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14
Q

Most common systemic fungi is […]

A

Most common systemic fungi is Candida

Found in
Normal commensal of humans
Female genital tract
soil

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15
Q

most medically important fungi can be grown on […]

A

most medically important fungi can be grown on Sabouraud’s medium
Selective for fungi because of it’s low pH, antibiotics and supplements such as chloraemphenicol.

Yeasts grow as single colonies while moulds spread out.

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16
Q

One of the systemic fungal infection is very similar to TB and are usually side by side differential diagnosis:

[…]

A

One of the systemic fungal infection is very similar to TB and are usually side by side differential diagnosis:

Histoplasmosis, caused by the fungus Histoplasma capsulatum

Symptoms of this infection vary greatly, but the disease affects primarily the lungs. Occasionally, other organs are affected; this is called disseminated histoplasmosis, and it can be fatal if left untreated.”

17
Q

Since yeasts generally all look the same, the way to ID some of them include
1. Candida Albicans - […]
2. Cryptococcus neoformans - […]

A

Since yeasts generally all look the same, the way to ID some of them include
1. Candida Albicans - germ tubes **positive**
2. Cryptococcus neoformans - capsule structure

IMPT!!! alw tested.

Candida sounds positive…..CRYPTococcus so its has capsule. HAHAHHA desperate alr.

To look out for others,
- corn meal agar
- assimilation tests
- mass spec
- antigen tests
- antibody test
- PCR
- etc.

18
Q

Transmission of aspergillus - […]

factors predisposing to infection
- […]
- […]

A

Transmission of aspergillus - airborne

factors predisposing to infection
- immunodeficiency (HIV, leukemia, transplantation)
- diseased lungs (eg. tuberculosis)
they are ubiquitous, meaning they are bloody EVERYWHERE!!! esp construction sites.