Opportunistic mycoses Flashcards

(63 cards)

1
Q

two way an opportunistic fungus will get into the body

A

compromised anatomic and physical barriers
~ airborne like aspergillus settles on wound
othres from soil
–others from catheter tubes

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2
Q

Two people susceptible to fungal infections

A

cancer patients of lyphohematolotigs and people with inherited inmmunodeficiencies

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3
Q

chemo and radiation are good places for fungal infections, t/f

A

true

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4
Q

what two diseases are most common cause of fungal infection in hematopoetic stem cell or transplant patients

A

candida or aspergillus

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5
Q

This latent disease can increase host suspetibility to other infectsion

A

CMV and Epstein barr

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6
Q

Because hiv targets CD4+, this results in

A

oppotunity for fungi contolled by CDT4 helpesr to flourish

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7
Q

Candida are complex and do

A

phenotype switching

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8
Q

This form of candida is seen in all humans

A

yeast and hypha morphotyes

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9
Q

while yeast and hyphea are more often seen, this form of candidia can also be seen in host

A

pseudohyphae or chains of yeast

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10
Q

C. albicans are or are not capsulated

A

they are non-capsulated

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11
Q

what is the invasive form of C. albicans

A

pseudohyphal form

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12
Q

where do candida live

A

commensal part of human floura and like the GI tract

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13
Q

most cases of candidiases come from

A

person’s own organism

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14
Q

3 out of 4 women experience

A

vulvovaginalis candidiasis

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15
Q

What is the most common microbial infection in AIDS

A

candidiasis, lots of THRUSH

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16
Q

What are the three major types of virulence determinants

A

adhesions, phenotype switching and enZ

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17
Q

C. albicans produces these so they can bind to various parts of the host body

A

adhesions

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18
Q

the hallmark of invasive C. albicans is this form

A

invasive pseudohyphae

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19
Q

C. Albicans secrete these and it destructs host tissues

A

enZ

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20
Q

stents, caths, shunts, ect are all example of

A

biofilms

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21
Q

C.Albicans can stick to biofilms, this is dangerous bec

A

they evade immunse sytem and can cause failure of biofilm

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22
Q

Infection sights of C. albicans

A

skin and mucosal, or moist skin
people on antibiotics
people with dermatisis
site of surgiers like arterial, venous, central venous and urinary catheters

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23
Q

Central venous catheters

Broad=spectrum antibiotics and surgery with gut transection result in

A

higher suspectiblity to caindidiasis infection in adults and neonates

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24
Q

Candidi pseudo hypahe have or don’t have septa

A

NO septa

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25
What does aspergillus have
hyphae SEPTA
26
What type of drug resistances makes non-albinas hard to treate
azole resistance
27
Why is oral candidiasis difficult to threat in asthmatics
bc get from steroids in inhalers and they need inhaler
28
Cryptococcus causes
cryptococcosis
29
What do they look like: Cryptococcus
uninucleate budding yeast with a polyscach capsule
30
where are cryptococcus distributed?
worldwide and all over soil | guano from birds
31
Are cryptococcus a normal part of human floura
NO
32
Which strain of Cryptococcus has an outbreak recoding
C. gatti
33
Is Cryptococcosis a global disease?
yes; seen in pacific northwest and sub-sahra Africa
34
What strains of cryptococcosis is the virulent strain
CAPUSLATED... acapsulated are avirulent
35
how do we prognosis w/ cryptococcosis
see capsuleted presnence in serum of CCF and blood
36
Whats the deal with cryptocococcis capsule
it's Antiphagocytic-capsule conceals the fungal wll ligands that our body like phagocytes would regonize and it makes them too big for ingestoin
37
What is the location of cryptococossis inside a human host
extracellular | we inhale airborne yeast
38
After we inhale airborn cryptococcossis, what happens in our bodies
they rehydrate and get their capsule back
39
Meningitis is the first indicaiton of which type of infection
crytpococcal infection
40
what is the most serious manifestation of cryptococcosus
meningitis
41
Aspergillus is a mold with
septate hyphae (crosswall mycelia) + conidia
42
does asperillus have a yeast form
no
43
Epi of aspergillus
worldwide, in house dust, vegitation, and airborne
44
Construciton project have been associated with outbreaks in
aspergillus
45
How does aspergillus destroy host tissue
hydrolytic enZ and toxin production to evade macrophages
46
This population of individuals have increased suspetiblity to aspergillus
CMI or compromised adaptive immunity
47
CMI more likely to get Aspergillus, how come
suprresed innate host defense
48
Neutropenic patients are at risk for
aspergillus infection
49
leads to localized inflammation necrotizing in lung can invade blood vessels leading to brain/liver/ect
invasive asperogillosis
50
What is the big challenge to scientists when diagnosis aspergillus
making a quick diagnosis
51
Rhizopus, mucor and fusarium are
Zygomycosis: emerging opportunistic fungal pathogens
52
Zygomycosis include disease processes caused by members of:
Zygomycetes
53
Zygomycetes (especially Rhizopus, Mucor, Fusarium) have emerged as
cause of morbidity, mortality in immunocompromised patients
54
Morphology of Zygomycetes in envi
mold in envi and host
55
In tissue, the hyphae of rhizopus ad mucro are: septate or aseptate
aseptate, no cross walls
56
Fusarium are septate or aseptate hyphae
Septate!!! like aspergillus
57
where are zygomycosis found
in soil, envir, plants, fruit, moldy bread
58
Epidemiology of Zygomycosis; rhizopus, mucor, fusarium
worldwide and can be found in air vents
59
Are there virulence determinants for zygomycosis
no
60
how do we aquire zygomycosis
inhaltion, ingestion, contamination by spores
61
Acidodic patients with diabets are suspetible to
rhizopus bc of their ketone reductase
62
this has been seen as a breaksthrough infection in bone marrow transplant patients get antifungal prophylaxis with azoles
Zygomycosese bc the azoles dont work on them
63
Zygomycosses mimick
common bactetial infections an other mycosis