Yeast-Like Fungi (YLF) Flashcards
List various lab methods for identifying yeast isolates
- Size and morphology
- Germ tube
- Fermentation (anaerobic)
- Assimilation (aerobic)
- Morphology on special media (e.g., pseudohyphae on cornmeal)
- CHROMagar
- Urease production
- India ink
- Latex agglutination
Name the test
- 2-3 hour incubation in rabbit plasma
Germ tube
Principle of CHROMagar
Chromogenic (color-producing) substrates; used to ID Candida spp
Fermentation test
- Requires GAS PRODUCTION
- Tubes w/ single CHO (“purple broth sugars”) w/ Durham tube and oil on the surface
Fermentation test
- Pos/Neg result
- Pos: acid production and gas production
- Neg: either no acid or gas production OR acid production but no gas production
Assimilation test
CHOs utilized as sole carbon source
Describe Candida albicans morphology on cornmeal agar
Pseudohyphae and chlamydoconidia (not always present)
Describe Candida tropicalis morphology on cornmeal agar
Pseudohyphae
- Straight, long, graceful
- “Starburst”
- Blastoconidia along side of pseudohyphae
Describe Candida krusei morphology on cornmeal agar
Elongated blastoconidia (logs on a stream)
Describe Candida parapsilosis morphology on cornmeal agar
Pseudohyphae
- Crooked, tangled appearance
Describe Geotrichum morphology on cornmeal agar
Arthroconidia present
Describe Trichosporan morphology on cornmeal agar
Oval arthroconidia present
List the yeast that DO NOT produce pseudohyphae on cornmeal agar
- Cryptococcus
- Candida glabrata
- Rhodotorula
- Saccharomyces
Which yeast are urease positive?
- Cryptococcus (all species)
- Trichosporon
- Rhodotorula
Which yeast are melanin on birdseed agar?
Cryptococcus neoformans
Which yeast are germ tube positive?
Candida albicans/dubliniensis
Which yeast are stained by India ink?
Cryptococcus spp
Which yeast are trehalose positive?
Candida glabrata
Which yeast are ascospore stain positive?
Saccharomyces
Is CHROMagar a “rapid” test?
NO
Is the germ tube test a “rapid” test?
YES! Incubates for 2-3 hours!
Is the assimilation test a “rapid” test?
NO (needs to incubate 48-72 hours)
Which yeast is #1 at causing human infection?
Candida albicans
Which yeast should be associated w/ aggressive infections and treatment failures due to resistance?
Candida glabrata
Candida krusei has ____ colonies on SAB
Dry
Rhodotorula is what color pigment?
Red/red-orange
Cryptococcus are ____ (if it’s encapsulated)
Mucoid
Candida albicans causes what diseases?
- Yeast infection
- Can be involved w/ any part of the body (septicemia, UTI, vaginitis, oral thrush, etc.)
- Normal flora of GI tract, vagina, and often skin
Candida glabrata causes what diseases?
Diabetic urinary infections
Cryptoccocus causes what diseases?
Pulmonary and CNS infections (meningitis)
- C. neoformans is a major pathogen in AIDS patients
malassezia spp cause what diseases?
Systemic infections
- Associated w/ hyperalimentation (TPN) (lipids)
Trichosporon causes what diseases?
“White piedra” → mat of mycelia around body hair; disseminated disease
Cryptococcus neoformans
- Typical sources of infection
Associated w/ soil contamination w/ pigeon, turkey, or chicken droppings (inhalation)
Cryptococcus neoformans
- Significance of isolation
Should always be considered significant until proven otherwise
Cryptococcus neoformans
- Patient populations at increased risk
AIDS patients
Cryptococcus neoformans
- Virulence factors
- Adherence to mucosa
- Resistance to phagocytosis
Typical morphology of Cryptococcus spp
- Mucoid colonies (if encapsulated)
- Yeast cells appear larger, irregularly sized
Sensitivities of latex agglutination vs. India ink preps for identifying C. neoformans
Latex agglutination is more sensitive than India ink
Special culture requirements for Malassezia spp
Requires fatty acids (virgin olive oil) for growth
Which yeast has a “spaghetti and meatball” morphology and fluoresces w/ infected skin lesions
Malassezia furfur
Which species of yeast produce arthroconidia?
- Trichosporon
- Geotrichum
List the pathogenic yeasts
- Candida
- Cryptococcus
- Trichosporon
- Geotrichum
- Rhodotorula
- Malassezia
- Yeast form of dimorphic