Fungal Skin Infections Flashcards
(68 cards)
With superficial mycoses, infections are limited to the outermost layers of skin and hair. What part of the skin and hair?
Skin - stratum corneum
Hair - cuticle
What are the superficial mycoses? x4
- Pityriasis Vesicolor
- Tinea Nigra
- Black Piedra
- White Piedra
What is Pityriases Vesicolor caused by?
Malassezia furfur
What are the characteristics of Malassezia furfur?
Dimorphic
Part of normal flora
Lipophilic - found in area of body rich in sebaceous glands
Clinical disease of Pitryriasis Versicolor occurs when environmental factors promote growth in hyphal phase like ________ and _______
Increased lipid production
Moist heat
Where is Pityriasis Versicolor more common?
Tropics
What is the presentation of Pityriasis Versicolor (Tinea Versicolor)?
Numerous irregularly shaped scaly patches
Yellow-brown to dark brown in color
Hyper or hypopigmentation
How do you diagnose Pityriasis Versicolor?
Observation of skin scarping - looks like spaghetti and meatballs with KOH
Cultivation not typical - may require lipid rich overlay
How do you treat Pityriasis versicolor?
Topical treatment
Relapse common
What is tinea nigra?
Superficial skin infection caused by Exophiala werneckii
What are the characteristics of Exophiala weneckii?
Dimorphic fungus
Common in tropics
Tinea nigra is thought to arise following ________ of organism such as contamination with soil, sewage, wood, or compost.
Traumatic (superficial abrasions)
What are the presentations of Tinea Nigra?
Distinct oval-shaped lesions on hands and feet
Light brown to black in color
How is Tinea Nigra diagnosed?
Skin scrapings (KOH) reveal 2 celled yeast forms containing dark pigment
What is black and white piedra?
Hard or gritty granules on hair shaft
What organism causes Black Piedra? Where is it common?
Piedra hortae
Tropics
What organism causes White Piedra? Where is it common?
Trichosporon beigelii
Temperature and semi tropical areas like South US
Both Piedra Hortae and Trichosporon beigelii can be isolated from ______ and ______
Soil
Compost
_________ forms nodules composed of asci and ascospores
Black Piedra
________ forms mycelium and arthrocondinia forming a collar around the hair shaft.
White Piedra
Black Piedra presents with __________ on hair, primarily the ______, and _______ are firmly attached.
Hard, gritty nodules
scalp
nodules
White Piedra presents with ______ nodules (white/light brown), usually on ______ or axillary hair, beards, eyebrows. Nodules are _________ attached
Soft
Pubic
Loosely
How do you diagnose black and white piedra?
Microscopix examination of infected hairs
Lab cultivation - rare
How do we treat black and white piedra?
Shave off hair and practice good hygiene