Yeast Flashcards
Yeast General Info
Normal flora of the oropharynx, GI tract, and urogenital tract
Unless predominant numbers are clinical insignificant
Candida albicans Colony Morphology
Cream colored, pasty, smooth colony
May form spider-like or starry-feet projections with age
Candida albicans Microscopic
After 3 days - pseudohyphae with clusters or round blastoconidia form at the septa and large, thick walled, terminal chlamydospores develop
37 C - inhibits chlamydospores
Candida albicans Pathogenicity
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
Candida albicans Germ Tube
Positive
C. albicans var stellatoidea may also give a positive
Candida tropicalis Colony Morphology
Creamy with mycelial fringe (looks like fungus on edges)
Candida tropicalis Microscopic
After 3 days - blastoconidia singly or in pairs of very small groups along pseudohyphae. A few teardrop shaped chlamydospores.
“Mickey Mouse Ears”
Candida tropicalis Pathogenicity
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
Candida tropicalis Germ tube
Negative
Candida parapsilosis Colony Morphology
Creamy, sometimes develops a lacy appearance
Candida parapsilosis Microscopic
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
Candida parapsilosis Pathogenicity
Considered nonpathogenic
Has been known to cause infection in susceptible individuals
Candida parapsilosis Germ tube
Negative
Candida kefyr Colony Morphology
Creamy and smooth
Candida kefyr Microscopic
3 days - forms pseudohyphae with found to elongate blastoconidia that can become detached from pseudohyphae
“logs in a stream”
Candida kefyr Pathogenicity
Usually nonpathogenic
May cause infection in susceptible individuals
Candida kefyr Germ tube
Negative
Candida krusei Colony Morphology
Flat, dry, dull
Developing a mycelial fringe
Candida krusei Microscopic
3 days - form pseudohyphae with elongate blastoconidia creating a cross-match sticks or treelike appearance
Candida krusei Pathogenicity
Nonpathogenic
May cause infections in susceptible individuals
Candida krusei Germ tube
Negative
Candida krusei Urease test
Positive
Candida guilliermondi Colony Morphology
Flat, glossy, smooth, edged, cream color, may develop slight pink color with age
Candida guilliermondi Microscopic
3 days - forms small yeast cells and relatively few short pseudohyphae often having small clusters of blastoconidia at septa
Candida guilliermondi Pathogenicity
Nonpathogenic
May cause infection in susceptible individuals
Candida dubliniensis Colony Morphology
Cream colored, pasty, smooth
Candida dubliniensis Microscopic
Chlamydoconidia are often attached at end of short, hyperbranching pseudohyphae and in a characteristic triplet or pair arrangement
Candida dubliniensis Pathogenicity
Primarily associated with HIV patients
Concern that this is more virulent than C. albicans - developing fluconazole resistance
Candida dubliniensis Germ tube
May be positive
Candida dubliniensis Chromagar
Colonies are green but lighter than C. albicans
Candida auris General Info
Emerging pathogen originally isolated in Asia
Antifungal resistance is common
Easily transmissible from person to person
Candida auris first isolation
Ear canal of patient in Japan
Trichosporon species
Two of interest:
1) T. beiglii
2) T. capitatum