Fungal Infections Flashcards

(54 cards)

1
Q

At Risk Patient Groups for Fungal Infections (10)

A
  • Impaired Immune System
  • HIV/Aids
  • Malignancy
  • Premature Neonates
  • Chronic Lung Disease
  • Asthma
  • COPD
  • Cystic Fibrosis
  • Sarcoidosis
  • Patients in ICU
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2
Q

Name two Fungal Skin Infections common in UK?

A

Tinea and Candidasis

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3
Q

Tinea is caused by

A

Dermatophytes

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4
Q

How does Candida present before disruption?

A

Asymptomatic

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5
Q

Risk Factors for Candida (9)

A
Moist Areas
Skin Folds 
Obesity
Diabetes
Neonates
Pregnancy
Work in Wet Environment
Recent Broad Spectrum Antibiotic
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6
Q

Genital Candidiasis is also known as

A

Vaginal Thrush

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7
Q

Genital Candidiasis Symptoms (10)

A
Itch
Sore
Burning
Dysuria
Vulval Oedema
Fissures
Cottage Cheese/White Curd Discharge
Bright Red Rash
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8
Q

Risk Factors for Genital Thrush (9)

A
Just before and during menstruation
Obesity
Diabetes
Iron Deficiency Anaemia
Immunodeficiency
Recent Broad Spectrum Antibiotic
High Dose HRT
Pregnancy
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9
Q

Diagnosis of Genital Thrush (2)

A

Clinical

Vaginal Swab

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10
Q

Management of Genital Thrush (3)

A

Clotrimazole: Topical Antifungal Pessary or Cream
Oral Treatment: Fluconazole
Avoid Bubble Bath

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11
Q

In Management of Genital Thrush should you use probiotics or treat sexual partner?

A

No

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12
Q

What is non specific balantitis

A

Inflammation of Glans Penis

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13
Q

Non specific balantitis is what type of infection

A

bacteria or candida

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14
Q

How to treat non specific balantitis if caused by candida (1)

A

topical clotrimazole

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15
Q

What is Oral Candidiasis also known as

A

Oral Thrush

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16
Q

Risk Factors for Oral Candidiasis (Oral Thrush) (9)

A
Immunocompromised
Inhaled or Oral Corticosteroid
Broad Spectrum Antibiotics
Diabetes
Dental Prosthesis
Smoking
Poor Oral Hygiene
Nutrition Deficiency
Impaired Salivary Function
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17
Q

Symptoms for Oral Candidiasis (5)

A
White or Yellow Plaques
Mild Burning
Erythema
Altered Taste
Furry Tongue
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18
Q

Management of Oral Candidiasis (2)

A

Topical Antifungal: Nystatin or Miconazole Gel

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19
Q

Systemic Candida Infections who is at risk (11)

A
Immunosuppressed 
HIV
Malignancy
Chemo
Recent Abdo Surgery
Renal Failure
Low Birth Weight Infants
Neutropoenia
Diabetes
Candidermia
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20
Q

Invasive Candidiasis is centered where

A

Gut Commensal

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21
Q

Diagnosis of Invasive Candidiasis

A

Blood Cultures

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22
Q

Invasive Candidiasis treatment required

A

IV/Oral Antifungals

23
Q

Tinea causes (3)

A

Direct spread from Infected Individual/Animal

Indirect contact with objects which carry infection

24
Q

Tinea Risk Factors (5)

A
Hot humid environments
Obesity
Tight fitting clothing
Immunocompomised
Hyperhidrosis (excess sweat)
25
What is Hyperhidrosis
excess sweat
26
Diagnosis of Tinea Signs
Scaly Itchy Skin | Asymmetrial Distribution
27
Management of Tinea (3)
Topical Anti Fungal: Terbinafine, Clotrimazole or Miconazole Requires 4 Week Treatment
28
How to diagnose Fungal Nail Infection
Nail Clippings
29
How to manage Fungal Nail Infections (3)
Cotton Absorptent Socks Nails Trimmed Topical Nail Lacquer: Amorlifine
30
How long to treat Fungal Nail Infection fingernails
6 Months
31
How long to treat Fungal Nail Infections toenails
9-12 months
32
How long to use Oral Terbinafine for Fungal Nail infection fingernails
6-12 Weeks
33
How long to use Oral Terbinafine for Fungal Nail infection toenails
3-6 Months
34
Aspergillus is a type of mould found where(4)
Soil Dust Damp Air Conditioning Systems
35
How is Aspergillus transmitted
Inhaled by Spores
36
At risk health conditions for Aspergillus (4)
``` Cystic Fibrosis COPD TB Sarcoidosis Weak Immune ```
37
Aspergillus Symptoms (6)
``` Cough Sob Wheeze Pyrexia General Malaise Headache ```
38
What type of Aspergillus is commonest in Asthma and Cystic Fibrosis
Allergic Bronchopulmonary Aspergilliosis
39
Most common symptom in Allergic Bronchopulmonary Aspergilliosis
Longstanding cough >3 Weeks
40
Allergic Bronchopulmonary Aspergilliosis can lead to
pulmonary fibrosis
41
Allergic Bronchopulmonary Aspergilliosis diagnosis (6)
``` Eosinophilia Bloods Sputum Culture Positive Skin Test for Aspergillosis Positive Serology for Aspergillus spp CXR/CT ```
42
Management for Allergic Bronchopulmonary Aspergilliosis (2)
Oral Long Term High Dose Prednisolone or Itraconazole Anti Fungal
43
Chronic pulmonary aspergilliosis lasts longer than
3 Months
44
Chronic pulmonary aspergilliosis affects
people with underlying lung conditions
45
Chronic pulmonary aspergilliosis presentation (3)
exacerbation not responding to antibiotics decline in lung function resp Symptoms
46
Chronic pulmonary aspergilliosis diagnosis (2)
sputum culture | cxr
47
Chronic pulmonary aspergilliosis management
oral antifungals
48
At risk of Aspergilloma (5)
``` TB Sarcoidosis Bronchiectasis After pulmonary infection Bronchial cyst or bullae ```
49
Aspergilloma presentation
Haemoptysis | Sometimes presented on CXR
50
Acute Invasive Pulmonary Aspergilliosis at risk patients (3)
``` Neutropenic patients Post Transplant (stem cell highest risk) patients with defects in phagocytes ```
51
Presentation of Acute Invasive Pulmonary Aspergilliosis (5)
``` Any organ involved Resp Symptoms Haemoptysis Pleuritic Chest pain Nasal Congestion and Pain ```
52
Acute Invasive Pulmonary Aspergilliosis can spread how?
Haematogenous
53
Acute Invasive Pulmonary Aspergilliosis can present as
persistent febrile neutropoenia
54
Acute Invasive Pulmonary Aspergilliosis management
IV Anti Fungal