Mycology Flashcards

(29 cards)

1
Q

Systemic mycoses

A

Histoplasmosis
Blastomycosis
Coccidiomycosis
Paracoccidioididomycosis

*NO person to person transmission

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2
Q

Tx for LOCAL infection by systemic mpycoses

A

fluconazole
itraconazole

Amphotericin B for systemic

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3
Q

MISSISSIPI and OHIO river valleys
cause PNEUMONIA
Bad/bird droppings

HIDES in MPHAGES

A

HISTO

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4
Q

EAST of Mississipii and CENTRAL AMERICA yo!

inflammatory lung disease that can disseminate to BONE

forms GRANULOMATOUS NODULES

BROAD BASE BUDDING……..

A

BLASTO buds broadly….

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5
Q

SW US and California

pneumonia and meningitis

EARTHQUAKES release spores into air

forms SPHERULES filled w/ ENDOSPORES in tissues

A

Coccdio CROWDS in CALIFORNIA

*desert bumps= erythema noduosum
desert rheumatism- arthralgias

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6
Q

LATIN AMERICA

super cool looking budding yeast in a captain wheel formation

A

paracoccidioidomyocses

paracoccidio parasails w/ the captains wheel all the way ot latin america

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7
Q

Branching SEPTATE HYPHAE on KOH prep w/ BLUE fungal stain

A

Dermatophyte!….aka cutaneous fungal infections

Microsporum
Trichophyton
Epidermophyton

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8
Q

tinea capitis

A

Head and scalp
lymphadenopathy
alopecia
sclaing

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9
Q

Tinea corpis

A

BODY

ringworm (erythematous SCALING rings w/ a central clearing)

contact form infected cat/dog

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10
Q

tinea cruris

A

inguinal area

NO central clearing

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11
Q

Tinea pedis

A

interdigital- MC
mocassin
vesicular

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12
Q

Tinea unguium

A

onchomycosis

NIALS!!

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13
Q

Tinea Versicolor AKA….spaghetti and meatballs that occurs in SUMMER

A

yeas like fungus

degradation of LIPIDS> ACIDS….that damage MELANOCYTES> hypopigmentation or PINK patches

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14
Q

Opportunistic fungal infections

A
Candida
Aspergillus
Croptoccous
Mucor/RHizopus
PCJ
Sporothrix schenckii
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15
Q

Pseudohyphae and budding yeasts at 20

GERM TUBES AT 37

A

CANDIDA ALBICANS

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16
Q

Septate hyphae that branch at FORTy FIVE degree angles

conidiophore /w radiationg chains of spores (SEEDING DANDELION!)

A

Aspergillus fumigatus

ACUTE Angles AFLATOXINS…not dimorphic

17
Q

Yeasts w/ wide capsular halos and unequal budding on INDIA INK stain

A

Cryptococcus neoformas

18
Q

irregular, braod NONSEPTATE hypae branching at WIDE angles

19
Q

IC: oral and esophageal thrush
DIabetics/ABx: vulvovaginitis
IV drug users: endocarditis

20
Q

Asthma/CF: Allergic bronchopulomonary aspergiloosis> BRONCHIECTASIS AND EOSINOPHILIA

After TB infection: Aspergillomas in LUNG CAVITIES

A

Aspergillus…the SEEDING DANDELION

can produce AFLATOXIN > hepatocellular carcinoma

21
Q

Soil, pigeon droppings

inhaled> hematogenous dissemination to meninges> SOAP BUBBLE LESIONS IN BRAIN

A

Cryptococcus neoformas

22
Q

STaine w/ india inck and mucicarmine (REDDDD) but latex agglutination test for the polysaccharide capsular Ag is MORE SPECIFIC

23
Q

Fungus in ketoacidotic diabetic/ neutropenic pts

A

MUCOR and RHIZPHOUS

24
Q

fungi proliferate in VESSEL walls> penetrate cribiform plate and enter the BRAINNNNN

Frontal lobe abscess
cavernous sinus thrombosus
Black eschar on the face
CN involvement possible

A

Mucor
Rhizopus

Surgical debride
ampho B

25
Most infections by this opportunistic fungi are asymptomatic but if you're immunosuppressed.... Diffuse interstitial pneumonia bilateral GROUND GLASS opacities on CXR
PCJ
26
Dx of PCJ
lung biopsy/lavage disc shaped yeast on methenamine SILLLLLVER stain
27
when do you start prophylaxis for PCJ
CD4
28
CIGAR shaped budding yeast htat lives on VEGETATION SPORES introduced by THORN prick leads to ULCER/PUSTULE w/ nodules along the draining lymphatics (ASCENDING LYMPAHNGITIS)
Sporothrix schenckii
29
tx for sporothrix scenckii
plant a ROSE in a POTassium iodide (or itraconazole)