Zygomycetes Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

What are the most common pathogens int he zygomycetes family?

A

Rhizopus

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

What is the common name for the infections caused by the zygomycetes family?

A

Mucormycosis.

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

What is the most common cause of rhino cerebral infections?

A

Rhizopus arrhizus

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

What are the distinguishing growth characteristics of Zygomycetes?

A

They have large diameter hyphae, and non-septate hyphae with 90 degree branching

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

How do zygomycetes sporulate?

A

Asexually in the sporangium.

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

What temp do zygomycetes grow well at?

A

Not at 37 C! This is important!

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

Where do zygomycetes grow in the environment?

A

On living and dead organic matter.

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

How are zygomycetes transmitted?

A

Inhalation of spores, traumatic implantation of spores, and ingestion of spores

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

What populations are at a high risk for zycomycosis?

A

Those that are immunocompromised: patients with uncontrolled diabetes, especially w/ ketoacidosis, neutropenic cancer puts, those that use long term steroids or long term VORICONAZOLE.

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

What conditions are risks for the GI form of zygomycosis?

A

Iron overload or extreme malnutrition.

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

What is the primary pathogenesis of zygomycetes?

A

ANGIOINVASION

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

What are the 5 different diseases caused by zygomycetes?

A

Rhinocerebral zygomycosis, pulmonary zygomycosis, disseminated zygomycosis, cutaneous zygomycosis, and GI zygomycosis

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

What is the most common presentation of zygomycosis?

A

Rhinocerebral zygomycosis.

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

What is the characteristic presentation of rhino cerebral zygomycosis

A

Involves the nose, eye, sinuses, brain, meninges.

Pt presents w/ fever, facial and/or eye pain, building of eye and progressive signs of involvement of orbital structures. black necrotic lesions in mouth.

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

What is a characteristic sign of rhino cerebral zygomycosis?

A

Black necrotic lesions on the hard palate and nasal mucosa.

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

What species can cause rhino cerebral disease in immunocompetent individuals?

A

Apophysomyces elegans

17
Q

How does a patient present with pulmonary zygomycosis?

A

Fever, cough, chest pain, SOB, hemoptysis, segmental consolidation and possible cavitation

18
Q

What are the complications of angioinvasion from disseminated mucormycosis?

A

tissue infarction and multigrain failure.

19
Q

Where does disseminated zygomycosis spread?

A

Everywhere! Predominantly the CNS, but also the liver, spleen, heart, bone, kidneys and skin.

20
Q

What is the pt presentation w/ GI zygomycosis?

A

Abdominal pain or distention, nausea, vomiting, and diarrhea. May mimic an intra-abdominal abscess.

21
Q

Diagnosis of zygomycosis:

A
  1. obtain appropriate samples
  2. do direct microscopic examination and look for characteristic zygomycetes
  3. Do culture

No serological tests are available, Beta-glucan and galactomannan tests are negative

22
Q

Treatment for zygomycosis

A

Aggressive surgical measures
Aggressive measures to control underlying conditions
Aggressive antifungal therapy

23
Q

What drugs are zygomycetes inherently resistant to?

A

Azoles and echinocandins

24
Q

What is the mainstay of anti fungal therapy for zygomycosis?

A

Lipid formulation of Ampho B + possibly posaconazole.