Yeast Flashcards

1
Q

Yeast General Info

A

Normal flora of the oropharynx, GI tract, and urogenital tract
Unless predominant numbers are clinical insignificant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Candida albicans Colony Morphology

A

Cream colored, pasty, smooth colony
May form spider-like or starry-feet projections with age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Candida albicans Microscopic

A

After 3 days - pseudohyphae with clusters or round blastoconidia form at the septa and large, thick walled, terminal chlamydospores develop
37 C - inhibits chlamydospores

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Candida albicans Pathogenicity

A

1) Mucocutaneous Candidiasis - oral cavity (thrush), vaginal canal, trachea, and bronchi
2) Cutaneous Candidiasis - infection of skin and involves moist areas like fingers, toes, armpits, etc
3) Systemic Candidiasis - rare condition of debilitating, neoplastic, or immunosuppressive diseases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Candida albicans Germ Tube

A

Positive
C. albicans var stellatoidea may also give a positive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Candida tropicalis Colony Morphology

A

Creamy with mycelial fringe (looks like fungus on edges)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Candida tropicalis Microscopic

A

After 3 days - blastoconidia singly or in pairs of very small groups along pseudohyphae. A few teardrop shaped chlamydospores.
“Mickey Mouse Ears”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Candida tropicalis Pathogenicity

A

Cause infections in patients with:
1) Breakdown of body’s immune system
2) Prolonged treatment with antibiotics, corticosteroids, or cytotoxic drugs
3) Diabetes mellitus
4) Drug addicts
5) Found without evidence of disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Candida tropicalis Germ tube

A

Negative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Candida parapsilosis Colony Morphology

A

Creamy, sometimes develops a lacy appearance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Candida parapsilosis Microscopic

A

After 3 days - round to oval blastoconidia formed singly or in small clusters are seen along the pseudohyphae
Large hyphal elements called giant cells may be present

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Candida parapsilosis Pathogenicity

A

Considered nonpathogenic
Has been known to cause infection in susceptible individuals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Candida parapsilosis Germ tube

A

Negative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Candida kefyr Colony Morphology

A

Creamy and smooth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Candida kefyr Microscopic

A

3 days - forms pseudohyphae with found to elongate blastoconidia that can become detached from pseudohyphae
“logs in a stream”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Candida kefyr Pathogenicity

A

Usually nonpathogenic
May cause infection in susceptible individuals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Candida kefyr Germ tube

A

Negative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Candida krusei Colony Morphology

A

Flat, dry, dull
Developing a mycelial fringe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Candida krusei Microscopic

A

3 days - form pseudohyphae with elongate blastoconidia creating a cross-match sticks or treelike appearance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Candida krusei Pathogenicity

A

Nonpathogenic
May cause infections in susceptible individuals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Candida krusei Germ tube

A

Negative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Candida krusei Urease test

A

Positive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Candida guilliermondi Colony Morphology

A

Flat, glossy, smooth, edged, cream color, may develop slight pink color with age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Candida guilliermondi Microscopic

A

3 days - forms small yeast cells and relatively few short pseudohyphae often having small clusters of blastoconidia at septa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Candida guilliermondi Pathogenicity

A

Nonpathogenic
May cause infection in susceptible individuals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Candida dubliniensis Colony Morphology

A

Cream colored, pasty, smooth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Candida dubliniensis Microscopic

A

Chlamydoconidia are often attached at end of short, hyperbranching pseudohyphae and in a characteristic triplet or pair arrangement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Candida dubliniensis Pathogenicity

A

Primarily associated with HIV patients
Concern that this is more virulent than C. albicans - developing fluconazole resistance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Candida dubliniensis Germ tube

A

May be positive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Candida dubliniensis Chromagar

A

Colonies are green but lighter than C. albicans

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Candida auris General Info

A

Emerging pathogen originally isolated in Asia
Antifungal resistance is common
Easily transmissible from person to person

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Candida auris first isolation

A

Ear canal of patient in Japan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Trichosporon species

A

Two of interest:
1) T. beiglii
2) T. capitatum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Trichosporon Colony Morphology

A

Yeastlike
At first cream colored, moist, soft
Later finely wrinkled, heaped, and darkens to yellowish-grey

35
Q

Trichosporon species Microscopic

A

3 days - true hyphae and pseudohyphae with blastoconidia singly or in short chains.
Arthroconidia form on older cultures

36
Q

Trichosporon species Pathogenicity

A

T. beiglii causes white piedra
Occurs almost exclusively in immunocompromised patients

37
Q

Trichosporon species Germ tube

A

Negative

38
Q

Trichosporon species Urease test

A

Positive

39
Q

Geotrichum candidum Colony Morphology

A

Young colonies: white, yeast-like
Mature colonies: Submerged hypae at periphery giving ground glass appearance
Most strains do NOT grow at 37 C

40
Q

Geotrichum candidum Microscopic

A

3 days - true hyphae form that segment into rectangular arthroconidia, varying in size
NO blastoconidia along hyphae
NO alternating of light/dark

41
Q

Geotrichum candidum Pathogenicity

A

Causes geotrichosis - rare infection that may produce lesions in the mouth, intestines, and lungs
Cause disease mostly in immunocompromised hosts

42
Q

Cryptococcus neoformans General Info

A

Widely distributed in soil mixed with excreta from poultry
Common infection in AIDS population

43
Q

Cryptococcus neoformans Colony Morphology

A

Begins as smooth white to tan colony, may become mucoid
Cream to brown with age
“Stringy” when trying to remove colony

44
Q

Cryptococcus neoformans Microscopic

A

No pseudohyphae,
Irregular sized, spherical, thick-walled yeast cells with spaces between them

45
Q

Cryptococcus neoformans Urease

A

Positive

46
Q

Cryptococcus neoformans Nitrate

A

Positive

47
Q

Cryptococcus neoformans India Ink

A

Positive for capsule

48
Q

Cryptococcus neoformans Niger Seed Agar

A

Positive
Detects phenol oxidase production of yeast resulting in production of melanin
Red-brown pigment

49
Q

Cryptococcus neoformans Pathogenicity

A

Cryptococcosis
Subacute or chronic infection most frequently involving CNS (meningitis)
AIDS patients

50
Q

Cryptococcus albidus General Info

A

Common transient on human skin and has been reported as rare cause of pulmonary, CNS, and vaginal infections

51
Q

Cryptococcus albidus Colony Morphology

A

Cream colored
Smooth to mucoid
Yeast-like

52
Q

Cryptococcus albidus Microscope

A

SAB - demonstrates globose to avoid budding yeast-like cells or blastoconidia

53
Q

Cryptococcus albidus India Ink

A

Positive

54
Q

Cryptococcus albidus Urease

A

Positive

55
Q

Cryptococcus laurentii General Info

A

Rare cause of pulmonary and cutaneous infection and continuous ambulatory peritoneal dialysis (CAPD)

56
Q

Cryptococcus laurentii Colony Morphology

A

Cream colored, sometimes a deeper orange-yellow with age
Smooth mucoid texture

57
Q

Cryptococcus laurentii Microscopic

A

SAB - produces spherical and elongated budding yeast-like cells or blastoconidia

58
Q

Cryptococcys laurentii India Ink

A

Positive

59
Q

Cryptococcus laurentii Urease

A

Positive

60
Q

Candida glabrata Colony Morphology

A

Small yeast-like colonies
Pasty, smooth
White to cream

61
Q

Candida glabrata Microscopic

A

CM 3 days - demonstrates only small, round to oval, single terminal budding
Nonencapsulated yeast cells, tend to form compact clusters
No pseudohyphae

62
Q

Candida glabrata

A

Assimilates only glucose and trehalose

63
Q

Candida glabrata Pathogenicity

A

Causes torulopsosis
Infection occurring usually in blood stream or UTI, sometimes in the lungs

64
Q

Rhodotorula species Colony Morphology

A

Pink to coral
Yeast-like
Soft and smooth

65
Q

Rhodotorula species Microscopic

A

CM 3 days - demonstrates budding round or oval cells variable in size with rare rudimentary pseudohyphae
No ascospores

66
Q

Rhodotorula species Urease

A

Positive

67
Q

Rhodotorula species Pathogenicity

A

Associated with contaminated equipment such as catheters, contaminated IV solutions and brochioscopes
Infections are present in terminal stages of debilitating disease

68
Q

Saccharomyces species Colony Morphology

A

Smooth, moist
White to cream colored

69
Q

Saccharomyces species Microscopic

A

CM 3 days - demonstrates yeast cells of various shapes with multilateral budding
Few very short pseudohyphae

70
Q

Saccharomyces species Kinyoun stain

A

Characteristic ascospores seen when stained with Kinyoun and grown on special media

71
Q

Saccharomyces species Pathogenicity

A

Usually nonpathogenic
Has been implicated in various infections in predisposed individuals

72
Q

Prototheca wicherhamii Colony Morphology

A

Soft, wet yeastlike
White to light tan colonies

73
Q

Prototheca wicherhamii Microscopic

A

Large non-budding cells with a symmetrical morula-like structure
Organism resembles algae Chlorella

74
Q

Prototheca wicherhamii Pathogenicity

A

Previously thought to be a skin saprophyte
Now identified as rare opportunistic pathogen

75
Q

Malssezia furfur General Info

A

Cause of tinea versicolor
Characterized by superficial scaly areas
Lesions occur on smooth surfaces of body
Causes disseminated infection in infants and young children

76
Q

Malassezia furfur Colony Morphology

A

Organism will grow in yeast form only when media has been overlaid with 1-2 ml of olive oil

77
Q

Malassezia furfur Microscopic

A

CM 3 days - no pseudohyphae or true hyphae formed
Round to oval cells
Conidia are produced on a broad base (shoulders may be seen)

78
Q

Germ Tube Positive Organisms

A

Candida ablicans
Candida dubliensis - some strains, not all

79
Q

Trichosporon species

A

Hyphae present
Arthroconidia positive
Urease positive

80
Q

Candida species

A

Hyphae present
Blastoconidia positive

81
Q

Cryptococcus species

A

Hyphae not present
Urease positive
Inositol assimilation
Nitrate positive

82
Q

Rhodotorula species

A

Hyphae not present
Urease positive
Inositol negative

83
Q

Candida glabrata

A

Hyphae not present
Urease negative
Small cells on Cornmeal
Dextrose positive
Trehalose positive