ILA 1 Intro to Fungi Flashcards

1
Q

What are fungi?

A
  • Non-motile eukaryotes
  • Cell wall - polysaccharides and glycoproteins
  • Macroscopic: mushrooms, puffballs, gill fungi
  • Microscopic: molds, yeasts
  • Can be unicellular, colonial, complex/multicellular
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2
Q

What are the two fundamental forms of Fungi?

A

Yeast and Mold

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3
Q

What are the characteristics of mold?

A
  • Hyphal form
  • multicellular
  • reproduce by condida (spores)
  • thread-like hyphae (septate or non-septate
  • fuzzy colonies on agar (mycelia)
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4
Q

What are the characteristics of yeast?

A
  • Budding form
  • Unicellular
  • reproduce by budding or fission
  • may elongate to form pseudohyphae - buzzword for Candida sp.
  • mucoid colonies on agar
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4
Q

What are dimorphic yeast?

A
  • Saprophytic mycelial form at room temp and parasitic yeast form at body temp
  • most of the human pathogenic fungi
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5
Q

Differentiate between sporangiospores and conidiospores.

A

Sporangiospores are contained in a “sac” called the sporangium and must burst open the sac to be released

Conidiospores look like a dandylion and are readily released

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6
Q

What are the four major types of fungal infxn?

A
  1. Superficial and cutaneous
  2. Subcutaneous
  3. Endemic
  4. Opportunistic pathogens
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7
Q

What is an example of a superficial and cutaneous fungal infxn?

A
  • Athletes foot
  • Onychomycosis
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8
Q

What is an example of a subcutaneous fungal infxn?

A

Sporotrichosis - “rose gardener’s disease” - usually results from trauma

Involve skin, subcutaneous tissue, & lymphatic but rarely disseminates

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9
Q

What are endemic fungal infxns?

A

Dimorphic fungi that can cause systemic disease in healthy individuals

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10
Q

What are some example of opportunistic fungal infxns?

A
  • Histoplasmosis
  • Blastomycosis
  • Cryptococcosis

Cause life-threatening illness in immunocompromised pt or pt w implants

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10
Q

Why are fungal infections difficult to diagnose?

A

Many similar manifestations to other infections

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11
Q

How does Amphotericin B work?

A
  • Destroys membrane function by binding sterols
  • Good antifungal, but nephrotoxic
  • Has been referred to as “amphoterrible”
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12
Q

Why is Amphotericin B lipid complex a better drug than Amphotericin B?

A

Little or no hematological effect or nephrotoxicity

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13
Q

What do you know about Amphotericin B colloidal dispersion?

A
  • As effective as amphotericin B against Aspergillus
  • Less renal toxicity
  • More minor side effects (chills and fever)
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14
Q

How do the Azoles (Fluconazole, Ketoconazole) work?

A
  • Inhibit ergosterol synthesis (in fungal membrane)
  • Oral antifungal that acts systemically
  • Can cause acute (and possibly severe) liver injury
  • Often follows amphotericin B in systemic infxns
15
Q

What do you know about 5-Fluorocytosine?

A
  • One of the oldest antifungals
  • Inhibits DNA synthesis - originally a chemotherapy agent
  • Bad side effects - GI upset, liver toxicity, bone marrow suppression
  • Very limited range of use - developement of resistance