Fungi & Parasites

Question 1

Subcategorise Parasites

Answer 1

Parasites can be:

Protozoa (single celled) - e.g. Plasmodium falciparum

Helminths (worms, multicellular) - e.g. Tapeworms

Question 2

Subcategorise Fungi

Answer 2

Fungi can be:

Yeasts (single celled) - eg. Candida Albicans

Moulds (multi-celled) - eg. Aspergillus, Dermatophytes(athletes foot)

Question 5

Plasmodium Falciparum

Answer 5

Protozoa (parasite) - Female anopheles mosquito vector
Hepatomegaly, splenomegaly (RBC destruction, jaundice)
Travel history - malaria belt

Investigations = Blood films (x3) - LFTs
Treatment = Quinine & Doxycycline

Question 6

Plasmodium Vivax

Plasmodium Ovale

Answer 6

G6PDH test before administering CHLOROQUININE

Latent - incubation period like a year or something

Question 7

Candida Albicans

Answer 7

Opportunistic infection - commensal of Vagina & Mouth

Treatment:
Nystatin 
Clotrimazole
IV fluconazole
SYSTEMIC = Amphotericin B

Question 8

Aspergillius

Answer 8

Mould (fungi)
Acute infection of the lungs - opportunistic infection

Treatment = Amphotericin B (targets chitin in fungal cell wall)