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FungalDiseases(Mycoses)

MarliaSinggih
SchoolofPharmacyITB

ISOLASIDANPERTUMBUHANFUNGI
Kebanyakan fungidapat tumbuh pada media
dengan sumber nitrogendan karbohidrat
sederhana,misalnya SDAyg mengandung
glukosa dan pepton pH7
Selain itu,InhibitoryMoldAgar,sering
digunakan utk recoveryfungiyangberasal dari
clinicalspecimens
Untuk spesimen ini,mediaperlu ditambahkan
antibakteri spt gentamisin atau kloramfenikol

Sifatdimorfic
pathogenicfungiexhibitamorphological
transitionfromathemycelialorsaprobicform
totheparasiticformfoundininfected
tissue. Thermaldimorphismiscommon!

SUPERFICIALMYCOSES
Microsporum,TrichophytonandEpidermophyton

Ringworm Trichophyton
mentagrophytes

SUBCUTANEOUSMYCOSES

BLASTOMYCOSIS

PARACOCCIDIOIDOMYCOSIS

chronicgranulomatousandsuppurative(bleeding
pus)diseasehavingaprimarypulmonarystagethat
isfrequentlyfollowedbydisseminationtoother
bodysites(e.g.,skinandbone).
occursinhumansanddogs(alsoseeninhorses,wild
animals,northernsealion).
anamorph,asexual,orimperfectformoffungus,
Blastomycesdermatitidis istheetiologicalagent
(perfectformofthisfungusisAjellomyces
dermatitidis,anascomycete).
dimorphicordiphasicfungus(convertsfrom
filamentousformtoyeastformandviceversa)

Drugofchoice
sulfas sulfamethoxypyridazineand
sulfadimehtoxine0.5gfollowingan
initialdoseof1gperdayforoneweek
relapseiscommon.

HISTOPLASMOSIS DARLING'SDISEASE

Amphotericin B is the drug of choice

HISTOPLASMOSIS DARLING'SDISEASE

worldwide;prevalentineasternU.S.
dimorphicfungusHistoplasmacapsulatum
infectionthroughinhalationofconidia
95%ofcasesareinapparent,subclinical,orcompletelybenign
diagnosedbyxraysthroughresidualareasofpulmonarycalcificationand
apositivehistoplasminskintest.
chronicprogressivelungdisease,chroniccutaneousorsystemicdisease,
oranacutefulminating,rapidlyfatal,systemicinfection.
growthoffungusassociatewithguanoanddebrisofbatandbirds,
particularlyduetotheroostinghabitsofstarlings.
InterestingTrivia: AlltheEuropeanStarlingsinNorthAmericadescendedfrom
100birdsreleasedinNewYork'sCentralParkintheearly1890s.Agroup
dedicatedtointroducingAmericatoallthebirdsmentionedinShakespeare's
workssetthebirdsfree.Today,EuropeanStarlingsrangefromAlaskatoFlorida
andnorthernMexico,andtheirpopulationisestimatedatover200millionbirds
(Source: http://www.birds.cornell.edu/AllAboutBirds/BirdGuide/European_Starli
ng.html).

Drugofchoice
AmphotericinBisthedrugofchoice.Atotal
of13gramsadministeredovera12month
period.Sideeffectsarecommonandneedto
bemonitored. Indisseminatedcases,0.6mg
perKgofbodyweightperdayforsixweeks.
Ketoconazolehasbeencurativeincentral
nervoussystemdiseaseatadoseof200mg
perday.

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