Mycology

Question 1

Tx for all fungi that can cause systemic (non-opportunisitc) infections

Answer 1

local: ketoconazole or fluconazole
systemic: amphotericin B

Question 2

3 CNS lesions found in HIV pts and radiographic presentation

Answer 2

Cryptococcosis - soap bubble lesions
Toxoplasma - ring-enhancing lesions
Primary CNS lymphoma - solitary lesion

Question 3

Fungal infection in ketoacidotic pts. describe

Answer 3

Mucormycosis. blood vessel proliferation, may penetrate cribriform plate to brain. Sx: headache, facial pain, black necrotic eschar on face. possible CN involvment.

Question 4

describe Mucor appearance under microscope

Answer 4

Broad, non-septate hyphea, branching at wide angles

Question 5

Fungal infection in ketoacidotic pts. describe

Answer 5

Mucormycosis. blood vessel proliferation, may penetrate cribriform plate to brain. Sx: headache, facial pain, black necrotic eschar on face. possible CN involvment.

Question 5

Fungal infection in ketoacidotic pts. describe

Answer 5

Mucormycosis. blood vessel proliferation, may penetrate cribriform plate to brain. Sx: headache, facial pain, black necrotic eschar on face. possible CN involvment.

Question 6

describe Mucor appearance under microscope

Answer 6

Broad, non-septate hyphea, branching at wide angles

Question 6

describe Mucor appearance under microscope

Answer 6

Broad, non-septate hyphea, branching at wide angles